New Medicaid Administrative Claiming Resource for State Medicaid Programs

September 23, 2024

ACL, with support from the Centers for Medicare & Medicaid Services and the National Association of Medicaid Directors, developed a resource for state Medicaid programs detailing the benefits of leveraging Medicaid administrative claiming for No Wrong Door (NWD) System functions. The two-page resource details how state and community-based partners can obtain federal reimbursement for activities performed in support of Medicaid, such as application assistance, outreach, program planning, etc. Various organizations can benefit from this type of federal reimbursement, including area agencies on aging, aging and disability resource centers, developmental disabilities resource centers, centers for independent living, brain injury organizations, and others.

Older adults, people with disabilities, and caregivers face barriers and challenges when accessing long-term services and supports. Duplicative processes often lead to barriers to accessing community supports, and people may enter nursing facilities prematurely or lack coordinated care. State NWD Systems address these access inefficiencies through a coordinated network of key partners and stakeholders, making it easier for people to learn about their options through established access points and person-centered approaches. Medicaid administrative claiming is one way to sustain states' efforts to enhance their NWD Systems. This resource provides action steps for how to strengthen partnerships between the state Medicaid agency and other partners to enhance NWD infrastructure and increase opportunities for sustainability.

Contact the NWD technical assistance team with questions at [email protected].