Centers for Medicare & Medicaid Service/HHS

  • June 30, 2017 - CMS issued an Informational Bulletin (CIB) that describes their intent to use enforcement discretion to focus on working with states to achieve compliance with the managed care regulations when states are unable to implement the July 1, 2017 requirements of the final rule. To implement this enforcement discretion, states will need to identify for CMS those regulations of the final rule that they are unable to implement by the required compliance date. This flexibility will not apply to the actuarial soundness, medical loss ratio (MLR), and pass-through payment provisions of the final rule because of the significant federal fiscal implications of these provisions for the Medicaid program.
  • May, 2017 - CMS released the Money Follows the Person (MFP) 2015 Annual Report. The national MFP rebalancing demonstration continues to grow; the 11,661 MFP transitions during calendar year 2015 marked the largest annual number transitioned since the inception of the demonstration and represented 97 percent of the number grantees targeted for the year. Cumulative MFP enrollment increased to 63,337 transitions by the end of December 2015, a 23-percentage-point increase over the total number at the same point in 2014. The national evaluation has continued to assess demonstration outcomes, but for the first time has estimated cost savings associated with the demonstration. In addition, consistently throughout the demonstration, MFP participants have reported significant improvement in the quality of their lives while state grantees have benefited from the flexibility afforded by the grant funding to develop transition programs, expand community-based LTSS offerings, design new services, and remove programmatic barriers to transition.
  • June, 2016 - The Connecting Kids to Coverage National Campaign developed a School-Based Outreach and Enrollment Toolkit to help bridge relationships between schools and organizations. The Toolkit highlights strategies for integrating enrollment into existing school processes—like including enrollment questions on new student registration forms—and developing sustainable outreach partnerships. It also includes tips for identifying and working with different members of the school community from nurses and school social workers to principals and superintendents. In addition, the Toolkit includes template communication tools (such as social media posts).

Administration of Children & Families/HHS

Interoperability Initiative

Learn how ACF/HHS is working to promote interoperability between state health and human service systems including reports, guidance, toolkits on the following topics:

  • Guidance on using Commercial Off-the-Shelf (COTS) software products in human service programs
  • State reports on the ACF State Sytems Interoperability and Integration (S2I2) Project Grants
  • Guidance on Funding and Cost Allocation 
  • Toolkits on Cost Allocation, Interoperability & Confidentiality
  • Information on the National Human Services Interoperability Architecture (NHSIA) and the National Information Exchange Model (NIEM) Human Services Domain

Office of the Assistant Secretary for Planning & Evaluation/HHS

2013-2015: ASPE Project - Integrating H/HS Programs & Reaching Eligible Individuals under the ACA


5 Reports:

  1. Overlapping Eligibility & Enrollment: Human Services and Health Programs Under the ACA (12/13) 
  2. Examples of Promising Practices for Integrating and Coordinating Eligibility, Enrollment and Retention: Human Services and Health Programs under the ACA (7/14)
  3. Using Behavioral Economics to Inform the Integration of Human Services and Health Programs under the ACA (7/14)
  4. Opportunities under the ACA for Human Services Programs to Modernize Eligibility and Expedite Eligibility Determination (7/14)
  5. Integrating Health & Human Services Programs and Reaching Eligible Individuals under the ACA: Final Report (2/15)

Substance Abuse and Mental Health Services Administration (SAMHSA)

  • Behavioral Health Barometer, Vol. 4 - This report presents national data about the prevalence of behavioral health conditions. This data includes the rate of serious mental illness, suicidal thoughts, substance use, and underage drinking. The report also highlights the percentages of those who seek treatment for these conditions. The state-level Barometers contain valuable insight into the behavioral health needs and the unique challenges faced by communities across the country. This analysis can help public health authorities and others determine the best ways of meeting behavioral health care needs and disparities among various communities.


Virginia's Plan for Well-Being

  • To read Virginia's Plan for Well-Being Measures, please check out the digital version here. With funding provided by the Centers of Medicare and Medicaid Services' (CMS) State Innovation Model (SIM) grant, Virginia's Plan takes a comprehensive approach to its State's well-being. It "lays out 13 priority goals that address issues significantly impacting the health and well-being of the people of Virginia. It provides a framework to guide the development of projects, programs, and policies to advance Virginians' health.
  • Additional information can be found on the website of the Virginia Department of Health.
  • The Virginia Center for Health Innovation website provides a great "big picture" of all the work Virginia is doing.


* NPIT Paper FINAL.pdf
NPIT Issue Paper


August, 2016 -  National Association of State Chief Information Officers (NASCIO) report: Better Decisions, Better Government: Effective Data Management Through a Coordinated Approach


Past National Collaborative Meeting Materials

Please click here to download our recent position paper - National Collaborative for Integration of Health and Human Services: Promoting Greater Health and Well-Being: Guiding Principles, Policy Priorities and Helpful Tools.




At the 5th Annual Meeting, APHSA launched the National Collaborative for Integration of Health & Human services (National Collaborative) aimed to expand upon NWI's efforts to transform the nation's health and human services system. The NC focused on elements of successful integration efforts as well as real-world examples of horizontal integration impacting population health and well-being.


2015 NC/NWI Meeting Summary




Day 1 - April 16, 2015


Where We've Been and Where We're Going

Anita Light, Director, National Collaborative

Megan Lape, National Collaborative & Chair, H/HS Integration Maturity Model Task Force  *Also see the NC H/HS Integration Maturity Model v2

Allison Davis, NJ DHS, Co-Chair, Analytics Committee

Brian Howells, PCG, Co-Chair, Workforce Committee


Politics, Money & Rising Caseloads: What's Driving the Integration Agenda?

Ron Smith, Director of Legislative Affairs, APHSA

Rick Friedman, H/HS Consultant, APHSA


From the Client's Perspective: Examples of Horizontal Integration

Bill Hazel, MD, Secretary, Health & Human Resources Agency, Commonwealth of Virginia

Kevin Burt, Policy & Program Assistant Director, Department of Workforce Services, State of Utah

Uma Ahluwalia, Director, Department of Health & Human Services, Montgomery County, Maryland


Successful Partnerships: Lessons Learned from States/Locals

Anita Light, Director, National Collaborative

Stephanie Muth, Deputy Executive Director, Texas Health and Human Services Commission

Anita Friedman, Deputy Director, Department of Human Services, Arlington County, Virginia and Jeanne Booth, Economic Independence Division Chief, Department of Human Services, Arlington County, Virginia



Day 2 - April 17, 2015


How is Data Sharing Enabling Integrated Service Delivery and Successful Partnerships?

Allison Davis, Senior Researcher and Executive Manager, Division of Family Development's Research, Operations and Reporting Unit, Department of Human Services, State of New Jersey

Melissa Beard, Data Governance Coordinator, Education, Research and Data Center, Office of Financial Management, State of Washington

Arthur Lomboy, Business Intelligence Data Manager, Department of Social Services, Monterey County, California


Examples from the Field: Moving Up the Curve

Heidi Welsch, Director, Family Support and Assistance Division, Department of Community Services, Olmsted County, Minnesota

Jane Wilson, Program Development Manager, Planning, Research, Evaluation and Engagement, Office of the Director, Human Services Department, Sonoma County, California

(Also see

NWI's 4th ANNUAL CONVENING (APRIL 23-24, 2014)


At the 2014 Annual Convening, NWI focused on the challenges being faced based on the national and state/local findings from the 2013 H/HS Integration Self-Assessment and how jurisidctions were addressing them as they transform their health and human service agencies. 


Agenda for NWI 2014 Annual Convening



Necessity of Business Process Reengineering in Transformation

Cemere James, Deputy Director, Work Support Strategies/CLASP


Opportunities for Service Delivery Integration

Alice Lind, Director, Grants & Program Development, WA Health Care Authority

Liz Misa, Deputy Medicaid Director, New York Department of Health

Stephanie Radtke, Deputy Director, Dakota County Community Services, Minnesota


Workforce in an Integrated Environment

Nikki Hatch, Deputy Executive Director, Operations, CO Department of Human Services



Last Updated: 8/24/2017


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