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

• Colorado Updates Medicaid Rules & Eases Regulations On Assisted Living Residences 
• California Medicaid To Transition ICF-DD Continuous Nursing Settings From Waiver Coverage To State Plan Long-Term Care Benefit Under Federal HCBS Settings Final Rule
• Michigan Medicaid Survey Finds Dissatisfaction With Breadth Of Care Options For Behavioral Health  
• Roadmap to the Ideal Crisis System
• Model Definitions For Behavioral Health Emergency, Crisis, & Crisis-Related Services
• Pennsylvania Health & Human Services System State Profile Report
• Pennsylvania Dual Eligible System: An OPEN MINDS State Profile
• Pennsylvania Medicaid System: An OPEN MINDS State Profile
• Michigan Behavioral Health System State Profile Report
• Michigan Medicaid System: An OPEN MINDS State Profile
• Michigan Dual Eligible System: An OPEN MINDS State Profile
• Health Care Utilization Among Medicaid Expansion Adults Is Higher Than For Other Adults 
• The FQHC Question
• Allegations Of Abuse, Neglect & Exploitation Rising For Maine Adults With I/DD Receiving HCBS
• The Medicaid Question

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

• 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
• Expanding Revenue Beyond Medicaid: New Funding Strategies For I/DD Providers–Sponsored By Core Solutions
• Payer & Provider Organization Adoption Of Collaborative Care Model For Integrated Mental Health & Medical Care On The Rise Since 2018

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