Mission and Value Statement

WHEREAS, Medicaid is a vital program that provides for the health care needs of millions of elderly and disabled of all ages;

WHEREAS, Medicaid patients have the right to receive care in the setting of their choice that is the least restrictive and most integrated environment capable of meeting their needs;

WHEREAS, Care in the home is a cost effective and clinically viable care setting;

WHEREAS, Medicaid is a program jointly financed by federal and state monies and that Congress and the US Department of Health and Human Services have significant administrative, oversight, and policy related responsibilities in Medicaid;

WHEREAS, there is a need for creative and innovative reforms in Medicaid to maintain the financial viability of the program and its accountability to the nation as a whole;

THEREFORE, we establish the National Medicaid Action Council Services to provide a voice for the advancement of home care in partnership with Medicaid beneficiaries, providers of care, and federal and state legislative and administrative authorities.

Mission

To foster improvements in the delivery of home care and community-based services through the exchange and implementation of creative ideas among Federal and state legislative and regulatory leaders, Medicaid beneficiaries, and providers of care.

Vision

To be the leading authority on effective Medicaid public policy regarding the use of home based services and to play a key role in reforming the Medicaid system to ensure a viable and sustainable platform for public health in the United States.

Guiding Principles

Education and information exchange are the key drivers of effective bi-partisan Medicaid reform.

Federal Medicaid minimum quality of care standards, accountability and outcomes associated with Federal Medicaid funding should be established to protect beneficiaries.

Medicaid services should be delivered in a system providing beneficiaries with a clear line of accountability for the quality and consistency of care provided to them.

States must maintain compliance with all Federal and state laws and should be held accountable for the outcomes of their Medicaid programs and policy decisions.

Medicaid beneficiaries have the right to receive services in the setting and delivery model of their choosing to avoid institutional care bias.

States and providers should be held accountable for fraud and waste and take all steps to protect beneficiaries from abuse and exploitation.

Access to quality care requires that providers receive fair compensation for services rendered including a fair operating margin.

The interests of providers and payers should be aligned in the payment model through the application of patient outcome measures supported by objective, data-based evidence of access, quality of care, and efficiency.

States’ processes for participation, coverage, and payment should be designed to secure access, quality and efficiency and avoid unnecessary barriers that increase costs.

Medicaid should encourage and support the development and implementation of improvements in care quality and efficiency through program.