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

• Wisconsin Medicaid Awards Four Entities Long-Term Care Contracts For Geographic Service Regions 2 & 7
• Idaho Health & Human Services System State Profile Report
• Idaho Medicaid System: An OPEN MINDS State Profile
• Idaho Dual Eligible System: An OPEN MINDS State Profile
• New Hampshire Health & Human Services System State Profile Report
• New Hampshire Dual Eligible System: An OPEN MINDS State Profile
• New Hampshire Medicaid System: An OPEN MINDS State Profile
• Many Medicare Advantage & Medicaid Managed Care Plans Have Limited Behavioral Health Provider Networks & Inactive Providers
• Delaware Health & Human Services System State Profile Report
• Delaware Behavioral Health System: An OPEN MINDS State Profile
• Delaware Dual Eligible System: An OPEN MINDS State Profile
• Hawaii Dual Eligible System: An OPEN MINDS State Profile
• Hawaii Behavioral Health System: An OPEN MINDS State Profile
• Hawaii Health & Human Services System State Profile Report
• 37% Of All Medicaid Managed Care Plans Cover All FDA-Approved Medications For Opioid Use Disorder

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

• Largest Health Plans In Each State By Estimated Enrollment: An OPEN MINDS Market Intelligence Report
• 41% Of Medicaid Expansion Beneficiaries At Risk Of Disenrollment Due To Upcoming Work Requirements Have Three Or More Chronic Health Conditions
• After The ACA & Before COVID-19, More U.S. Children Relied On Medicaid, CHIP, Or Marketplace Plans Than On Private Insurance
• Arizona Pauses Newly Updated Needs Assessment For Children With Developmental Disabilities
• Missouri Dual Eligible System: An OPEN MINDS State Profile

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