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

• Arizona Health Care Cost Containment System Slides For the ALTCS E/PD #YH27-0001 Request For Proposal Pre Proposal Conference 
• AmeriHealth Caritas Backs Michigan I/DD Managed Care Startup, Deon Health
• St. Vincent Behavioral Health Campus In Los Angeles, California Opens With Help From A $6 Million Investment By Health Net & Centene
• Health Plans Overturned 43% To 67% Of Appealed Prior Authorization Denials In 2025
• Arkansas Department Of Human Services Letter To The Centers For Medicare & Medicaid Services Seeking A Temporary Extension For The ARHOME Medicaid Waiver
• Caretech Expands Developmental Disabilities Waiver Services Across Rural Nebraska
• 2026 PACE Rural Memo
• Programs Of All-Inclusive Care For The Elderly (PACE) Marketing Guidelines
• Program Of All-Inclusive Care For The Elderly
• Exploring The Role Of The State Medicaid Agency In The Program Of All Inclusive Care For The Elderly (PACE)
• Legislative Report To Joint Legislative Oversight Committee On Medicaid & North Carolina Health Choice
• CCBHCs Served 3.4 Million People In 2025, Up 13% Since 2024
• State Medicaid & Children’s Health Insurance Program Applied Behavior Analysis Toolkit
• Ohio Medicaid Announces Statewide Expansion Of Next Generation MyCare Program
• New York Medicaid Imposes Six-Month Moratorium On New Enrollments In ‘High-Risk’ Provider Organization Categories

Florida Pediatric Group Sues State Over Medicaid Payment Rate Cuts Following ABA Transition

A large pediatric provider organization in Florida is suing the state Medicaid program in an effort to recover primary care funding it alleges was lost after the state revised Medicaid payment rates. The complaint, filed by Pediatric Associates, seeks an order requiring the Florida Agency for Health Care Administration (AHCA) to recalculate the payment rates. The organization serves about 15% of all child Medicaid beneficiaries in the state representing more than 300,000 children, according to… Read

• CMS Issues Outline Of Suggested State Medicaid Autism Therapy Oversight
• Delaware Adds Three New Services To State’s Lifespan Waiver For People With Autism & I/DD
• Alliance Health & Cortica Partner To Enhance Autism Care In North Carolina
• Medicaid Subscription-Based Payment Models For Hep C Drugs In Louisiana & Washington State Had A Larger Impact In Louisiana Due To Policy Factors
• Indiana Medicaid Implements Six-Month Moratorium On Enrolling New HCBS Waiver Provider Organizations

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