Week of September 23, 2025

Medicaid Home-and-Community-Based Services (HCBS): Payment Policies and Relationship To Workforce

Medicaid Payment Policies to Support the Home- and Community-Based Services Workforce – MACPAC meeting draft recommendation slides; Medicaid and CHIP Payment and Access Commission (MACPAC) – September 18.

Understanding Long-Term Services and Supports (LTSS)

2025 Signature Series on Aging in America Congressional Briefing; Alliance for Health Policy – September 2

The “Disability Squeeze”: Quantifying Disability-Related Out-of-Pocket Costs and Unmet Needs

The disability squeeze: Out-of-pocket expenses and unmet needs for disability-related goods and services in the U.S. – ScienceDirect article – NIDILRR Community and Beyond News sharing Disability and Health Journal article – September 17 shared July 19 article.

Persons Dually Eligible for Medicare and Medicaid: Impacts From Reconciliation Law (HR 1)

Impacts of HR 1 on Dual Eligable Individuals slides; Community Catalyst-Justice in Aging-Center for Medicare Advocacy – September 9.

Reconciliation Law (HR 1): Medicaid Work and Community Engagement – MACPAC

Background on Work and Community Engagement Requirements in Medicaid – MACPAC meeting background presentation;  Medicaid and CHIP Payment and Access Commission (MACPAC) – September 18.

Reconciliation Law (HR 1): Medicaid Work and Community Engagement – Strengthening Cross-Agency Collaboration

Strengthening Cross-Agency Collaboration Across Medicaid and Other State Partners to Support Work Requirements Implementation – policy brief; Center for Health Care Strategies – September 18.

Reconciliation Law (HR 1): Extend ACA Premium Tax Credits; Repeal Health Cuts

Extend ACA Premium Tax Credits; Repeal Reconciliation (HR 1) Health Care Cuts – letter – AAHD and Lakeshore have joined 350 organizations led by Community Catalyst asking Congress – September 11.

Medicaid and Behavioral Health – MACPAC Overview

Background on Behavioral Health in Medicaid and CHIP – MACPAC slides;  Medicaid and CHIP Payment and Access Commission (MACPAC) meeting background presentation – September 19.

Medicaid State Directed Payments – CMS Acts

Manatt 80 Million Project summary of CMS actions;  Centers for Medicare & Medicaid Services (CMS) – September 16.

Braiding Medicaid To Sustain Aging, Disability, Housing, Behavioral Health – California

Braiding Medi-Cal Funds to Sustain Aging, Disability, Housing, and Behavioral Health Services brief;  Center for Health Care Strategies – September 16.

Braiding Funding Streams To Provide More Person-Centered Care for People with Complex Health and Social Needs – California

Sustainably Integrating Health Related Social Needs into Healthcare webinar slides; Center for Health Care Strategies – September 18.

Experience of Care: Strengthening Partnerships with Patients and Their Families To Assess and Improve

CAHPS Research Meeting 2025 materials; Agency for Healthcare Research and Quality (AHRQ) with Westat Consumer Assessment of Healthcare Providers and Systems (CAHPS) – September 18.

Primary Care 2025 – Key Policy Priorities

Implementing High-Quality Primary Care in 2025: Key Policy Priorities – NAM discussion paper ; National Academy of Medicine – August 25 paper shared September 15.

Primary Care: Improving Payments To Physicians

Improving Payments for Primary Care Physicians | Commonwealth Fund brief; Commonwealth Fund blog – September 11.

Behavioral Health-Primary Care Integration: Collaborative Partnerships

Advancing Integrated Care Via Collaborative Partnerships webinar slides; National Council for Mental Wellbeing (NCMW), Center of Excellence for Integrated Health Solutions (CoE/HIS) – September 16.

Measurement-Based Care: How It Differs From Program Evaluation and Continuous Quality Improvement

Understanding Measurement-Based Care: How It Differs From Program Evaluation and Continuous Quality Improvement – Center for Mental Health Implementation Support (CMHIS); SAMHSA funded CMHIS – September 16 shared.

MEDICARE PHYSISICAN FEE SCHEDULE – COMMENTS TO CMS

AAHD and the Lakeshore Foundation submitted our comments and have joined several coalitions in submitting comments to CMS. We also supported a few organizations that did not offer sign-on letters. The list of letters with AAHD public policy updates web postings are here: