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.
Editor’s Picks
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Ohio Nursing Homes Dispute State Interpretation Of Budget Phrasing For Medicaid Nursing Home Rate Methodology
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Georgia Releases PBM RFP In Partnership With Alaska, Montana & Vermont For Medicaid FFS Pharmacy Programs
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Texas Medicaid Releases STAR Kids Draft RFP
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Iowa Seeks Medicaid MCO To Replace Expiring Contract With Total Care
Latest Resources
- New York City Developing Performance Measures For Intensive Mobile Treatment Teams For People With SMI
- Eight-State Review Finds Gaps In Medicaid MCO Compliance With Behavioral Health Parity Requirements
- Kentucky CHFS Provider Letter # A-113: Mobile Crisis Intervention Service Expansion
- North Carolina Dual Eligible System: An OPEN MINDS State Profile
- North Carolina Medicaid System: An OPEN MINDS State Profile
- North Carolina Health & Human Services System State Profile Report
- Ochsner Digital Medicine Partners With Humana Health Horizons
- Health Coverage Under The Affordable Care Act: Current Enrollment Trends & State Estimates
- Nebraska Eliminates Developmental Disabilities Waiting List
- New York Announces RFP For Development Of 13 Certified Community Behavioral Health Clinics
- Massachusetts Medicaid System: An OPEN MINDS State Profile
- Massachusetts Dual Eligible System: An OPEN MINDS State Profile
- Massachusetts Health & Human Services System State Profile Report
- The Medicaid RFP Cycle
- Oregon Medicaid Waiver Going Live In Phased Rollout To Cover Health-Related Social Needs
In March 2024, the Oregon Health Authority (OHA) began its phased rollout to cover health-related social needs (HRSN) under its 1115 Medicaid waiver for the Oregon Health Plan (OHP). The services include outreach and engagement, climate resources, housing benefits, and nutrition services. The demonstration is effective through September 30, 2027. Oregon was approved to spend up to $119 million in community capacity building funds (CCBF) to enable the new waiver services. On March 1, 2024,… Read
- Contracting For Crisis
- California Medicaid To Lift Parental Consent Requirements For Youth Therapy
- Nevada Medicaid To Launch Housing & Supportive Services Initiative
- Social Security Administration Removes Value Of Informal Food Assistance From SSI Financial Eligibility Criteria
- New Contracts, New Services, New Plans – The YTD Update
Latest Industry News
- New York City Developing Performance Measures For Intensive Mobile Treatment Teams For People With SMI
- Eight-State Review Finds Gaps In Medicaid MCO Compliance With Behavioral Health Parity Requirements
- Nebraska Eliminates Developmental Disabilities Waiting List
- New York Announces RFP For Development Of 13 Certified Community Behavioral Health Clinics
- Oregon Medicaid Waiver Going Live In Phased Rollout To Cover Health-Related Social Needs