November 16, 2018
We're back! Now that midterm elections are behind us, lawmakers are focusing their efforts on passing measures in time to avoid a government shutdown during the lame-duck session. Before we take another quick break next week for Thanksgiving recess, check out what's been on our radar below. We'll be back in your inbox on Friday, November 30th!
The Latest from the Administration & Congress
Medicaid Expansion After the Midterms
Idaho, Nebraska, and Utah voted to expand Medicaid in the recent midterm elections on November 6th. States have the option to expand their Medicaid program to include anyone with incomes up to 138% of the federal poverty line under the Affordable Care Act. This will give roughly 300,000 people in Idaho, Nebraska, and Utah access to Medicaid who were previously ineligible for the program.

Gubernatorial elections in Kansas, Maine, and Wisconsin also should increase the chances for Medicaid expansion via legislation in those states.
Systems Delivery for Individuals with Mental Illnesses
On Tuesday, in a State Medicaid Director letter , the Centers for Medicare and Medicaid Services (CMS) announced opportunities to design service delivery systems for providing community-based services for adults with a serious mental illness (SMI) or children with a serious emotional disturbance (SED).

Part I of the announcement details existing strategies for delivering services to individuals with SMI or SED, such as integration of mental health care and primary care, and better care coordination and transitions to community-based care. Part II of the announcement is the 1115 waiver opportunity for states to implement policy experiments to create better delivery systems for individuals with SMI or SED.

Through this SMI/SED demonstration opportunity, states may receive federal matching funds for Medicaid-coverable services provided to individuals residing in psychiatric hospitals and residential treatment settings that are not ordinarily matchable because these facilities qualify as institutes of mental disease (IMD).
The Maternal Opioid Misuse Model
In October, the Centers for Medicare and Medicaid Services (CMS) announced the Maternal Opioid Misuse (MOM) Model, an important step in advancing the agency’s multi-pronged strategy to combat the nation’s opioid crisis. The goal of the MOM model is to improve care for mothers with opioid use disorder and reduce cost burdens on Medicaid while expanding access to healthcare services. 

For more information, check out the official CMS press release and fact sheet or visit the Mom Model website .
ACF Memorandum on Meaningful Father Engagement 
In October, the Administration for Children and Families (ACF) issued a joint Information Memorandum (IM) emphasizing the importance of meaningful father engagement in all ACF programs to better serve children and families. The memorandum highlights research findings that demonstrate the value of father involvement in the lives of children and families, and identifies promising practices to promote and sustain meaningful father engagement, regardless of a father’s physical location or custodial participation. 

The IM can be found on ACF’s website here .
Reports & Resources

Open Call for Culture of Health Articles
With continuing support from the Robert Wood Johnson Foundation , Health Affairs is planning four clusters of articles in 2019 and 2020 on topics
surrounding the Culture of Health . They are particularly interested in work that addresses the topics below and ties into one or more of the key action areas that form the Culture of Health framework, all of which support the overarching goal of improving population health, well-being, and equity:

Submissions are due December 10, 2018 and April 1, 2019 . Click here for more information.
Prenatal-to-Age-Three State Grant Competition
The Pritzker Children’s Initiative (PCI) has set a goal of expanding high-quality services nationally to at least one million more low-income families with children prenatal to age three by 2023. To achieve this goal, PCI is awarding five to ten Planning Grants ($100,000/grant) and three to five Action Grants (ranging from $1-3 million) to states.

In the first three years of a child’s life, the brain is developing faster than at any later period in life and this is why PCI is seeking proposals from across the country that can help put children on a path for success. Letters of Intent are due  January 15, 2019 . Proposals are due on  February 15, 2019 Click here for more information.
2019 State Healthcare IT Connect 10th Anniversary Summit
The 2019 State Healthcare IT Connect Summit will be held March 18-20, 2019 in Baltimore, MD. This event has grown and evolved into an important national venue for public and private sector thought leaders to share ideas and benchmark implementation strategies of Health IT Systems. States are coordinating major initiatives including data governance and interoperability, Medicaid modernization, payment reform, population health, and program integrity as well as data privacy, security, and compliance issues at many levels.

Early bird registration rates are available until December 14, 2018 . Registration is free for government employees.