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

• Settlement Agreement Between The United States & The State Of South Carolina
• Medicaid Demonstration & Care Management Waivers: An OPEN MINDS Market Intelligence Report
• 16% Of Nursing Home Residents Spend Down Savings To Qualify For Medicaid
• Medicaid IMD Waivers Did Not Increase Overall Psychiatric Hospitalization Rate
• CMS Issues State Guidance On Implementing Medicaid Eligibility Changes Due To Federal Community Engagement Mandates
• Illinois Medicaid Releases RFP To Manage Move Of Institutionalized Consumers To The Community
• Indiana Working Group Recommends Capping Medicaid ABA Services & Setting Sustainable Rates
• Illinois Announces Medicaid Coverage For Home Visiting Services For Pregnant & Parenting Individuals
• Nest Health Raises $22.5 Million To Expand Medicaid Whole Family Home Medical Care Model
• 15 States Plan To Adopt New Medicaid Cost Containment Strategies For Home Care Services
• Nearly 70% Of Medicaid Beneficiaries Not Receiving Medications For Treatment Within 6 Months Of Opioid Use Disorder Diagnosis
• CMS Seeks Five More State Medicaid Agencies To Participate In The Innovation In Behavioral Health Model
• The State Of It All
• Florida Seeks To Relieve Those Permanently Disabled From 12-Month Medicaid Eligibility Redetermination
• North Texas Sees Ongoing Challenges Facing Children & Families

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

• Florida Awards Children’s Medical Services Program Contract To Molina Healthcare
• Medicaid Was The Primary Payer For About One-Half Of All Pediatric Hospitalizations
• Ohio Behavioral Health Peer Support Efforts To Benefit From New Investment
• Nebraska Seeks To Amend Its SUD Waiver 1115 Demonstration To Cover IMD Services For Mental Health Treatment
• Caring More

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