Legislative and Regulatory Background. There are several pieces of legislation that regulate how NCHS must maintain the confidentiality of the data it collects. According to Section 308(d) of the Public Health Service Act, NCHS may use its information only as specified by the supplier and may never release identifiable information without the ap
Federal agencies have a long history of releasing data to the public, and they also have a legal obligation to protect the confidentiality of the individuals and organizations from which the data were collected. Federal agencies have successfully balanced these two objectives for decades. With the new emphasis on expanding public access to federal
CHIPRA Mandated Evaluation of the Children's Health Insurance Program: Final Findings. Appendix A: Enabling Legislation for the Chipra and BBRA Evaluations
PUBLIC LAW 111–3—FEB. 4, 2009 123 STAT. 99 SEC. 603. UPDATED FEDERAL EVALUATION OF CHIP Section 2108(c) (42 U.S.C. 1397hh(c)) is amended by striking paragraph (5) and inserting the following: ‘‘(5) SUBSEQUENT EVALUATION USING UPDATED INFORMATION.— ‘‘(A) IN GENERAL.—The Secretary, directly or through contrac
Health Insurance Issuer Participation and New Entrants in the Health Insurance Marketplace in 2015. Methodology
For the purposes of this analysis, we define an issuer as an entity offering one or more individual market QHPs 11 through a Marketplace (Marketplace plans) and count as a separate issuer each unique issuer identification number in the Health Insurance Oversight System (HIOS) of the Centers for Medicare & Medicaid Services’ Center for Consu
Using Evidence-Based Constructs to Assess Extent of Implementation of Evidence-Based Interventions. How much time does it take to move across the bridge?
The amount of time it takes to progress across the Implementation Bridge can vary greatly. Data from MTFC suggest that the creating and implementing phase could take 2 to 3 years, and other work suggests that the creating phase could take between 6 months and a year (Blase & Fixsen, 2013). Implementing new programs, curricula, and reforms in s
Using Evidence-Based Constructs to Assess Extent of Implementation of Evidence-Based Interventions. What would an implementation monitoring plan look like?
Creating an implementation monitoring plan could involve tracking specific activities anticipated during each stage of implementation. To illustrate, table 2 presents sample implementation monitoring activities during a trial that implemented multidimensional treatment foster care (MTFC) at 3 sites in 51 counties (Chamberlain, Brown, & Salda
Estimates of Child Care Eligibility and Receipt for Fiscal Year 2011. Child Care Estimates Based on State Eligibility Rules
Within the federal eligibility parameters of CCDF, states have flexibility in setting income eligibility guidelines, parental co-payment fees, reimbursement rates to child care providers, target populations receiving priority for services, the number of work or education/training hours required, and the length of certification periods. 8 Based on
Evaluation of the Strong Cities, Strong Communities (SC2) Teams Pilot: Final Report. 2.1.1 Federal Agency Commitment to the SC2 Pilot
Given the timing of the SC2 pilot on the heels of the Great Recession, the dedication of federal agency resources to the engagement was threatened by budgetary constraints. For agencies with staff already stretched to deliver existing programs, committing staff to the pilot presented a major challenge. Participating agencies had to adjust work ass
Overlapping Eligibility and Enrollment: Human Services and Health Programs Under the Affordable Care Act. Appendix II. Overview of Programs
This appendix provides an overview of the various government programs discussed in the body of the paper. The following tables describe the eligibility rules and methods of each program, including rules on income limits, asset limits, reporting requirements, immigration and citizenship status, documentation requirements, enrollment priorities, and
Opportunities under the Affordable Care Act for Human Services Programs to Modernize Eligibility Systems and Expedite Eligibility Determination. Notes
1 Stan Dorn, Julia Isaacs, Sarah Minton, Erika Huber, Paul Johnson, Matthew Buettgens, and Laura Wheaton. “Overlapping Eligibility and Enrollment: Human Services and Health Programs Under the Affordable Care Act.” Washington, DC: Prepared by the Urban Institute for the Assistant Secretary for Planning and Evaluation, DHHS, December 2013.
Using Behavioral Economics to Inform the Integration of Human Services and Health Programs under the Affordable Care Act . Implications for targeted enrollment into Medicaid
In sum, the literature described above finds that apparently modest procedural burdens—the requirement to complete a form or even check a box, for example—can have a substantial impact on program participation, as can eliminating such burdens by completing forms on consumers’ behalf. This has important implications for implementation of targ
Using Behavioral Economics to Inform the Integration of Human Services and Health Programs under the Affordable Care Act . Insights on take-up from neoclassical economics
Expected utility maximization theory can help explain why many eligible individuals do not take up seemingly free public benefits for which they qualify. Two major literature reviews analyze the impact of multiple factors on participation levels in many different programs.
Examples of Promising Practices for Integrating and Coordinating Eligibility, Enrollment and Retention: Human Services and Health Programs Under the Affordable Care Act. Description
Low rates of SNAP participation among the elderly have posed a longstanding problem.
Performance Improvement 2013-2014. What Insights Can be Drawn from States Experiences Implementing Optional Medicaid Coverage for Youth in Order to Help With Mandatory Coverage?
This study drew lessons from 30 states' implementation of existing optional Medicaid coverage for youth who age out of foster care and applied them to decisions and plans states will consider as they implement new Affordable Care Act coverage that goes into effect in 2014. Under the Affordable Care Act youth who age out of foster care remain categ
Performance Improvement 2013-2014. What Role Do Implementation Supports Play in How Funded Programs Evolve in the Assertive Adolescent and Family Treatment Program?
This study documented the implementation process of the evidence-based interventions and practices and explored the role that implementation supports play in how the funded programs evolve.
Acronyms and Glossary 1915(c) waivers refers to section 1915(c) of the Medicaid program allowing the Secretary of HHS to waive certain program requirements in the law. Waivers permit States greater flexibility to target program eligibility and provide home and community based services for the disabled and/or elderly population
Performance Improvement 2009. Appendix A - Federal Domestic Assistance Programs of the Department of Health and Human Services
Federal Domestic Assistance Programs of the Department of Health and Human Services 
Performance Improvement 2009. How Can We Measure Implementation and Use of Health Information Technology?
This study identified and evaluated methods for measuring adoption, implementation, and use of health information technology (HIT) in the United States . The study identified strengths and weaknesses of measures for and measurement of attitudes toward HIT. The study examined HIT implementation progress and impact including variations in incentive
Performance Improvement 2009. Have Repeated Deficiencies Been Found During Subsequent Surveys of Home Health Agencies?
This study examined which Medicare home health agencies repeated the same deficiency citations. Medicare’s home health benefit provides treatment for beneficiaries who have short or long term illnesses or injuries and who are confined to their homes. This benefit has grown in terms of Medicare beneficiaries receiving home health service
Performance Improvement 2009. How Do Medicare Hospice Patients in Nursing Facilities and Other Settings Compare?
This study was analyzed data from Medicare Part A hospice claims, the Minimum Data Set, and the Online Survey Certification and Reporting System. The Medicare hospice benefit allows a beneficiary with a terminal illness to forgo curative treatment for the illness and instead receive palliative care, which is the relief of pain and other uncomfort