The American Rescue Plan Act (ARPA) was signed into law on March 11, 2021 as a signature effort to assist in the recovery from the COVID-19 pandemic and the related economic downturn. Included as part of the sweeping legislation is a program to fully subsidize COBRA coverage for six months starting in April of 2021. This expert perspective provides a short overview of COBRA and mini-COBRA, the major elements of the ARPA COBRA Assistance program, and considerations for state policymakers related to the program.
Approaches to the Integration of Services for Individuals with Intellectual and Other Developmental Disabilities
Brendan Hogan, Kate Bazinsky, and Beth Waldman, Bailit Health Purchasing
Today, there is a great deal of focus on integration of physical and behavioral health care services within the health care system overall, as well as within state Medicaid programs. Individuals with intellectual and other developmental disabilities (I/DD) often have multiple physical, behavioral, and long-term services and support (LTSS) needs. Many advocates of integration suggest that the consolidation of these services can provide an opportunity to improve care for individuals with I/DD. Based on interviews conducted with I/DD staff in six states (Arizona, Kansas, Michigan, New York, Tennessee, and Vermont), this paper highlights approaches to integrating services within the Medicaid program for individuals with I/DD, and lessons learned from states with integration activities underway.