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

• Illinois Announces More Frequent Medicaid Provider Organization Revalidation
• Maine Medicaid Section 1115 Whole Person Care Demonstration Waiver Extension
• Louisiana, Minnesota & Nevada Approved To Provide Medicaid Services Before Release From Incarceration
• HHS Clarifies When States Can Use SUD Records For Medicaid Work Requirements Documentation
• Business Groups Sue To Block New Jersey Law Penalizing Employers Whose Workers Receive Medicaid
• Florida Medicaid ABA Payment Rate Challenge Moves Forward After Judge Rejects State’s Dismissal Request
• CMS Creates New Medicaid State Plan Option For CCBHC Services
• Gold Coast Health Plan Awards More Than $2 Million In Grants To Provider Organizations & Community Organizations To Help Medi-Cal Members Navigate Changes
• HHS Office Of Civil Rights Frequently Asked Questions About Part 2 Confidentiality Requirements For Substance Use Disorder (SUD) Patient Records & Exclusion From The Medicaid Community Engagement Requirement For Certain Individuals With SUD
• Louisiana Medicaid Reentry Demonstration Approval
• Minnesota Medicaid Reentry Demonstration Approval
• Nevada Medicaid Reentry Demonstration Approval
• Federal Court Vacates Community Integration Provisions In HHS Section 504 Rule
• Arkansas Proposes $17 Million Expansion Of Supportive Living Services
• Medicaid Managed Care Enrollment Declined 5.5% Year-Over-Year In The Second Quarter Of 2026

Minnesota Medicaid Autism Treatment Authorization Backlog Reaches 1,000 Treatment Plans

The Minnesota Department of Human Services (DHS) backlog of fee-for-service prior authorization approvals reached approximately 1,000 autism treatment plans as of mid-August 2026. The plans were submitted by provider organizations on behalf of families awaiting treatment for Medicaid-eligible children. Without the necessary authorizations, provider organizations cannot bill Medicaid for the affected services. DHS acknowledged the delays in an August 25, 2026, notice to provider organizations. DHS is working with contractor Acentra Health, its authorization review… Read

• Alabama Medicaid Delays New Autism-Related ABA Referral Requirements
• Indiana Pauses Medicaid Enrollment Of New ABA Provider Organizations For At Least Six Months
• Nebraska Medicaid Changes ABA Billing & Prior Authorization Requirements
• Federal Court Ends 14 Years Of Oversight Of North Carolina Community-Based Services For People With Serious Mental Illness
• Massachusetts Medicaid Seeks 1115 Waiver Extension Adding Hospital Incentives & Global Budgeting

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