https://nwd.acl.gov/

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MEDICAID ADMINISTRATIVE CLAIMING

PROVIDES A SOURCE OF FUNDING TO SUSTAIN Medicaid Administrative Claiming supports efficient and

THE NWD SYSTEM effective administration of the Medicaid program.

State Medicaid Aging and Disability

·------------- · Agency Network Agencies I I

I I . --- . .--- . ·------------ · • - - - ■ ■ - - - •

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Reviews claim I I I I I I I

I in CMS 64 I I I 1 - Monitors time studies 1

I I I II .I Report I I

I Approves Medicaid I

I : - Calculates Medicaid o/o : 1 - Q k"uarter y time trac 1ng 1

·----· · ---- · ·---- · - ---- · I I

I o/o and requests I 1 - Submits cost reports 1

I reimbursement I 1 with matching dollars 1 I I I I· ----------· ·-----------·

MANY STATES ARE ALREADY CLAIMING MEDICAID APPROVED

ACTIVITIES. THEY INCLUDE:

• Conducting Outreach and Consumer Education about Medicaid • Assisting Individuals to Complete Medicaid Applications • Facilitating Person-Centered Counseling about Medicaid Options • Screening for Medicaid Program • Training about Medicaid • Program Planning/lnteragency

Coordination about Medicaid MEDICAID CLAIMING EXPANSION

ND

SD NY

.�--· NE

Ml

PAIA

NV UT IL IN

KS

.<l CA

co

MO

OK SCARHI

Tl(

•••

Alabama

Alaska

Florida

Maryland

Massachusetts

Minnesota•

•••

•

12 MORE STATES ARE

,,__ IVTI •• IN_...,... ..

•' PLANNING

- "" ..

'""' ..

PHASE

Mississippi

Montana

New Hampshire

New Jersey

New Mexico

Ohio

Oregon

Washington

Wisconsin

45 MILLION 1

15 states currently claiming for NWD/ADRC activities

12 in the planning phase

• .-·

.. .. ... "" ••

Estimated Medicaid ,,, •

••administrative funding

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•Isupporting NWD System • I Iactivities per year I I

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PHASE 1 TOOLS

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...

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Establish Costs And Document Medicaid Time

Project Work Plan

Presentation for State Level Partner Agencies

Presentation for Stakeholders

Cost Simulator

Code Development Guidance

CLAIMING AMOUNTS

FOR MOST STATES

500,000-■ Currently Claiming

Planning 2,000,000

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per year

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ACL and CMS partnered to produce the I

1

NWD System Reference Document for Medicaid Administrative Claiming. :

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,

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PHASE 2 TOOLS

Develop Agreements And Approvals

I Cost Pool Guidance and

I Cost Pool Spreadsheet

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I Sample MOU Language

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1 Represents knowledge from Administration for Community Living informal communication with state NWD System personnel.

FOR MORE INFORMATION PLEASE VISIT NWD.ACL.GOV