Medicaid

The Medicaid program is a state and federally funded public health insurance program for low-income individuals, including older adults, individuals with disabilities, children, pregnant women, and those in need of home health or long-term care services. For health and human service provider organizations operating in the Medicaid space, there are new opportunities for serving this complex consumer population, while also navigating challenges related to changes to state-specific Medicaid programs, health plans and enrolment, and new rules.

Latest Resources

• Georgia Proposes Changes To Its HCBS Waiting List For Those With I/DD
• 87% Of Medicaid LTSS Users Received HCBS In 2023; HCBS Accounted For 63.8% Of LTSS Spending
• Cityblock Health & Meridian Health Plan Of Illinois Announce Partnership To Serve 10,000 Medicaid Members
• California Awards $145 Million To Expand Provider Capacity To Deliver CalAIM Services
• Georgia Department Of Behavioral Health & Developmental Disabilities Board Meeting December 18, 2025 Presentation
• The Medicaid Times Are Changing: The Most Read News Stories Of 2025
• Assessing The Impact
• North Carolina Restores Medicaid Rates After Court Rulings
• 15 Virginia FQHCs Sue For Reimbursement
• Settlement Agreement Between The United States & The State Of South Carolina
• Medicaid Demonstration & Care Management Waivers: An OPEN MINDS Market Intelligence Report
• 16% Of Nursing Home Residents Spend Down Savings To Qualify For Medicaid
• Medicaid IMD Waivers Did Not Increase Overall Psychiatric Hospitalization Rate
• CMS Issues State Guidance On Implementing Medicaid Eligibility Changes Due To Federal Community Engagement Mandates
• Illinois Medicaid Releases RFP To Manage Move Of Institutionalized Consumers To The Community

16% Of Nursing Home Residents Spend Down Savings To Qualify For Medicaid

Among Medicare beneficiaries admitted to a nursing home in 2018, 16.4% who were not enrolled in Medicaid in 2018 spent down their assets to enroll in Medicaid, according to a recent study. The likelihood of spending down assets to enroll in Medicaid varied by demographic characteristics. The researchers analyzed administrative, enrollment, and claims data from 2018 to 2022 for a panel of 191,416 nursing home residents enrolled in traditional Medicare. The panel included beneficiaries newly admitted in 2018 for short-term… Read

• Indiana Working Group Recommends Capping Medicaid ABA Services & Setting Sustainable Rates
• Illinois Announces Medicaid Coverage For Home Visiting Services For Pregnant & Parenting Individuals
• Nest Health Raises $22.5 Million To Expand Medicaid Whole Family Home Medical Care Model
• 15 States Plan To Adopt New Medicaid Cost Containment Strategies For Home Care Services
• Nearly 70% Of Medicaid Beneficiaries Not Receiving Medications For Treatment Within 6 Months Of Opioid Use Disorder Diagnosis

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