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

• Share Of LTSS Users Receiving HCBS Across The States Ranges From 55.8% In Kentucky To 99.4% In Oregon
• Nearly Two-Thirds Of All States Cover Behavioral Health Therapy For Children & Youth
• 80% Of Medicaid HCBS Users In 2023 Were Younger Than Age 65
• Turnover & Staffing Remain Key Concerns For I/DD Direct Support Professional Workforce
• Louisiana Invests $17 Billion To Extend Its Medicaid MCO Contracts Through December 2026
• The Changing Face of Medicaid Managed Care: The Most Downloaded OPEN MINDS RFPs Of 2025
• Whose Evidence For Autism?
• Characteristics Of People Using Medicaid Long-Term Services & Supports, 2023
• Medicaid Managed Care Members Accounted For 59% Of LTSS Users, 38% Of LTSS Expenditures In 2023
• Nevada Issues An RFP For a Coordination-Only Dual Eligible Special Needs Plan
• Georgia Proposes Changes To Its HCBS Waiting List For Those With I/DD
• 87% Of Medicaid LTSS Users Received HCBS In 2023; HCBS Accounted For 63.8% Of LTSS Spending
• Cityblock Health & Meridian Health Plan Of Illinois Announce Partnership To Serve 10,000 Medicaid Members
• California Awards $145 Million To Expand Provider Capacity To Deliver CalAIM Services
• Georgia Department Of Behavioral Health & Developmental Disabilities Board Meeting December 18, 2025 Presentation

16% Of Nursing Home Residents Spend Down Savings To Qualify For Medicaid

Among Medicare beneficiaries admitted to a nursing home in 2018, 16.4% who were not enrolled in Medicaid in 2018 spent down their assets to enroll in Medicaid, according to a recent study. The likelihood of spending down assets to enroll in Medicaid varied by demographic characteristics. The researchers analyzed administrative, enrollment, and claims data from 2018 to 2022 for a panel of 191,416 nursing home residents enrolled in traditional Medicare. The panel included beneficiaries newly admitted in 2018 for short-term… Read

• The Medicaid Times Are Changing: The Most Read News Stories Of 2025
• Assessing The Impact
• North Carolina Restores Medicaid Rates After Court Rulings
• 15 Virginia FQHCs Sue For Reimbursement
• Settlement Agreement Between The United States & The State Of South Carolina

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