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

• 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
• 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
• CMS Seeks Five More State Medicaid Agencies To Participate In The Innovation In Behavioral Health Model
• The State Of It All
• Florida Seeks To Relieve Those Permanently Disabled From 12-Month Medicaid Eligibility Redetermination
• North Texas Sees Ongoing Challenges Facing Children & Families
• Florida Awards Children’s Medical Services Program Contract To Molina Healthcare

North Carolina To Launch A Learning Community Supporting Community Behavioral Health Clinics Providing Whole Person, Integrated Care

The North Carolina Department of Health and Human Services (NCDHHS) announced on October 14, 2025, the creation of the AdvaNCe Health Together Learning Community, developed in partnership with national consulting firm OPEN MINDS and Trillium Health Resources, a North Carolina Local Management Entity / Managed Care Organization (LME/MCO). The AdvaNCe Health Together training and collaboration model is designed to support the state’s Community Behavioral Health Clinics (CBHCs) that are preparing to meet certification standards. “Community… Read

• Medicaid Was The Primary Payer For About One-Half Of All Pediatric Hospitalizations
• Ohio Behavioral Health Peer Support Efforts To Benefit From New Investment
• Nebraska Seeks To Amend Its SUD Waiver 1115 Demonstration To Cover IMD Services For Mental Health Treatment
• Caring More
• Medica Agrees To Acquire UCare’s Medicaid & Marketplace Contracts In Minnesota

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