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

• Department Of Justice, Office Of Legal Counsel Opinion: Application Of The Rehabilitation Act & Americans With Disabilities Act To State Institutionalization Of Patients With Severe Mental Illness Or Disabilities
• Trillium Health Resources Launches Gold Standard Certification Program For Behavioral Health Treatment Provider Organizations
• Ohio Medicaid Standardizes Behavioral Health Prior Authorization Requirements Across Managed Care Plans
• Massachusetts Medicaid To End Community Partner Program Serving 35,000 High-Need Beneficiaries
• 87% Of Medicaid HCBS Programs Cover At Least One Category Of Assistive Technology
• Support Worker Turnover A Concern For 28% Of Children With I/DD & 34% Of Adults
• Welfare Indicators & Risk Factors, Twenty-Fifth Report To Congress
• State Medicaid Coverage Of Assistive Technology For Adults Using Home- & Community-Based Services
• Three States Plan To Implement Medicaid Work Requirements Before January 2027 Federal Deadline
• Lawsuit Challenges Nebraska’s New Disability Assessment System After HCBS Budget Reductions
• Minnesota Medicaid Revalidation Process Disenrolls 61% Of Provider Organizations; Temporary Reinstatement Enacted For Some
• CMS Proposes New Medical Frailty Definition For Medicaid Work Requirement Exemptions
• North Carolina Healthy Opportunities Pilots Reduced Medicaid Costs By $164 PMPM & Improved Social Outcomes
• North Carolina Healthy Opportunities Pilot Evaluation One-Pager
• Interim Final Rule: Medicaid Program; Community Engagement Requirement For Certain Individuals

Nevada Medicaid Issues Notices Of Intent To Award CO D-SNP Contracts To Five Health Plans

Nevada Medicaid has issued notices of intent to award contracts to five health plans for its Coordination Only (CO) Dual Eligible Special Needs Plans (D-SNP) program. The selected organizations are United/Sierra Health, Centene/WellCare, Elevance/HMO Colorado-HMO Nevada, CVS/Aetna, and Prominence Health Plan. Contract negotiations are currently underway, with implementation expected to begin January 1, 2027. A CO D-SNP is a type of Medicare Advantage (MA) Plan, designed for dual eligibles, that coordinates care between Medicare and… Read

• Medicaid Expansion Associated With Reductions In Mortality Among Young Adults With Kidney Failure
• SAMHSA Selects 10 More States To Join The CCBHC Medicaid Demonstration
• North Carolina Medicaid Puts New Restrictions On Autism Treatment
• North Carolina DHHS Draft Changes To Clinical Coverage Policy (CCP) 8F for Research-Based Behavioral Health Treatment (RB-BHT) For Autism Spectrum Disorder
• North Carolina House Bill 696: An Act Making Various Changes To The Medicaid Program & Other Changes Related To Health & Human Services

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