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

• The Medicaid Question
• Oregon Releases PACE RFP For Jackson & Josephine Counties
• Estimates For Medicaid Policy Options & State Responses
• Preliminary Analysis Of The Distributional Effects Of The One Big Beautiful Bill Act
• Payer & Provider Organization Adoption Of Collaborative Care Model For Integrated Mental Health & Medical Care On The Rise Since 2018
• 74.1% Of Participants Sought Rent Support In A Medicaid Housing Support Pilot
• Louisiana Dual Eligible System: An OPEN MINDS State Profile
• Louisiana Medicaid System: An OPEN MINDS State Profile
• Louisiana Behavioral Health System State Profile Report
• Washington Dual Eligible System: An OPEN MINDS State Profile
• Washington Medicaid System: An OPEN MINDS State Profile
• Washington Health & Human Services System State Profile Report
• Texas District Court Vacates Federal Minimum Staffing Requirements For Nursing Homes
• Ohio Medicaid Saved $140 Million In First Two Years After Moving To Single Pharmacy Benefit Manager Model
• California Awards $3.3 Billion To Create Behavioral Health Treatment Capacity For People With SMI & SUD

Arizona Proposes Medicaid Work Requirements & Lifetime Coverage Limits

The Arizona Health Care Cost Containment System (AHCCCS), which is Arizona’s Medicaid agency, is developing a waiver amendment to add work requirements, cost-sharing requirements, and to implement a five-year lifetime coverage limit based on Arizona Senate Bill 1092: Relating To The Arizona Health Care Cost Containment System that was passed in 2015. The cost-sharing requirements would be focused on discouraging non-emergency use of emergency services. “Able-bodied” adults would be subject to the lifetime coverage limit.… Read

• Oklahoma Reduces Developmental Disabilities Services Wait Time From 13 Years Down To One Year
• OhioGuidestone Rebrands Walk-In Behavioral Health Clinics As ‘ReadyCare’
• Nebraska DDD Home & Community-Based Services Waiver Transformation: ‘Access For All’
• Arizona Medicaid Contract For Elderly/Disabled Members Changed After Protest
• Delaware Issues RFP To Continue Building Its HCBS Capacity For Individuals With Intellectual/Developmental Disabilities

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