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

• Colorado Medicaid To Align Reimbursement Rates To Families Caring For An Adult With Disabilities To Host Home Rates
• Florida Medicaid MCO For People With I/DD Reports Enrollment Growth
• Arizona DDD Begins Using A New Developmental Disability Assessment For Children To Determine Eligibility For Medicaid Paid Parent Provider Program
• Arizona DES/DDD Division Operations Policy 3001 Family Members As Paid Providers
• CareSource & Radley Health Join Forces To Advance Behavioral Health Workforce Development In Ohio
• Arizona Medicaid Terminates Long-Term Care ALTCS EPD Procurement, Plans To Issue A New Procurement In Late 2026
• Colorado HCPF Proposed Individual Residential Services & Supports (IRSS): Rate Alignment Fact Sheet
• Colorado Executive Order D 2025 014: Declaring Insufficient Revenues Available For Expenditures Due To H.R. 1 & Ordering Suspension, In Whole Or In Part, Of Certain State Programs & Services In Order To Meet A Revenue Shortfall In Fiscal Year 2025-26
• Colorado Department Of Health Care Policy & Financing 2025 Stakeholder Webinar
• FY 25-26 Colorado HCPF Budget Reduction Items Fact Sheet—Sept 2025
• Oklahoma Dual Eligible System: An OPEN MINDS State Profile
• Oklahoma Health & Human Services System State Profile Report
• Oklahoma Behavioral Health System: An OPEN MINDS State Profile
• Wisconsin Health & Human Services System State Profile Report
• Wisconsin 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

• Wisconsin Dual Eligible System: An OPEN MINDS State Profile
• Kentucky Health & Human Services System State Profile Report
• Kentucky Dual Eligible System: An OPEN MINDS State Profile
• Kentucky Behavioral Health System: An OPEN MINDS State Profile
• California Dual Eligible System: An OPEN MINDS State Profile

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