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

• Due To Budget Shortfall, North Carolina To Cut All Medicaid Rates By At Least 3%, Starting October 1, 2025
• Louisiana Medicaid MCO Value-Based Arrangement For In-Home Primary Care Reduced Emergency Room Visits & Improved Outcomes For Families
• Northwest Kansas Area Agency On Aging Launches $6 Million Contract To Provide Administrative Case Management For Three HCBS Waivers
• North Carolina Medicaid & Blue Cross Blue Shield NC Prepare To Launch Children & Families Specialty Plan On December 1, 2025
• Genetic Testing For Developmental Disabilities Underutilized For Children Enrolled In Medicaid
• Medicaid Expansion Reduced Mortality Among Low-Income Adults By 2.5% Between 2010 & 2022
• 90% Of Medicaid Expansion Beneficiaries Already Work, Are Looking For A Job, Are In School, Have A Disability, Or Have Health Issues
• CMS Approves Moving The Healthy Texas Women Demonstration Waiver From Fee-For-Service To Managed Care, With A Five-Year Extension
• EHR Strategy in a Changing Behavioral Health Landscape: A Discussion with Brian Craft, Vice President of Product, Radicle Health
• CMS Approves Arkansas 1115 Medicaid Waiver To Cover Short-Term Inpatient Psychiatric Hospital Stays
• Michigan Issues First-Time Competitive Procurement For Regional Behavioral Prepaid Inpatient Health Plan Services
• Minnesota Medicaid Moves To Terminate Its Housing Stabilization Program Due To Fraud Investigation
• Michigan Medicaid County Designations Applicable To The FY27 Prepaid Inpatient Health Plan (PIHP) Contract For Specialty Behavioral Health
• Florida Seeks To Expand Provider Pool For Medically Fragile Children With Medicaid 1115 Demonstration Home Health Aide Amendment
• Nevada Medicaid To Launch PACE For Medicare, Medicaid Beneficiaries

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

• Federal 2025 Budget Bill Estimated To Cut Medicaid Spending In Rural Areas By $137 Billion Over 10 Years
• Maine Medicaid Seeks To Extend Its Substance Use Disorder 1115 Demonstration Waiver For Five More Years & Focus On Whole Person Care
• More Medicaid Beneficiaries With LTSS Needs Accessed HCBS Than Institutional Care In 2021
• DOL Proposes Rolling Back Minimum Wage, Overtime Rules For Hospice, Home Health Aides
• Montana Releases Draft 1115 Demonstration For Medicaid Expansion Work Requirements 

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