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

• New York Implements New Regulation On Network Adequacy For Behavioral Health Treatment 
• Montana Prepares Section 1115 Waiver To Implement Work Requirements, Cost-Sharing 
• Catholic Charities of Southern Missouri Expands Developmental Disability Services To Two New Counties 
• North Carolina Medicaid Ends Healthy Opportunities Pilots That Addressed Health-Related Social Needs 
• CMS Approves Minnesota’s Medicaid 1115 Demonstration Amendment, Expanding Eligibility To More Foster Youth  
• 45% Of Surveyed Behavioral Health Professionals Were Not Accepting New Appointments For Medicare Or Medicaid Beneficiaries 
• Virginia Medicaid Launches Cardinal Care Health Plans & Member Options 
• The 2025 Federal Budget Reconciliation Bill (H.R.1 – One Big Beautiful Bill Act): Implications For The Health & Human Service Field
• Pennsylvania Programs For Individuals With I/DD Have Hidden Waiting Lists 
• Texana Center To End Participation In Texas HCBS Medicaid Waiver Programs For People With I/DD 
• Indiana Health & Human Services System State Profile Report
• Indiana Behavioral Health System: An OPEN MINDS State Profile
• Indiana Dual Eligible System: An OPEN MINDS State Profile
• Illinois Health & Human Services System State Profile Report
• Illinois Medicaid System: An OPEN MINDS State Profile

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

• Illinois Dual Eligible System: An OPEN MINDS State Profile
• Maine To Eliminate Planned Use Of Restraints For Adults With Developmental Disabilities 
• Court Orders Texas To Stop Segregating People With I/DD In Nursing Facilities 
• Supreme Court Narrows Medicaid Beneficiary Right To Sue  
• California To Move An ICF-DD Setting From Waiver To State Plan To Comply With Federal HCBS Settings Final Rule  

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