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

• Unite Us & Nomi Health Partner To Accelerate & Streamline Medicaid Payments For Community-Based Organizations 
• Blue Cross & Blue Shield Of North Carolina – Winning Proposal & Contract For Medicaid Children & Families Specialty Plan Services To North Carolina Department Of Health & Human Services, 2024
• Solving For Access
• UnitedHealthcare Loses Challenge Over Minnesota Law Banning For-Profit Medicaid Plans 
• Nebraska Eliminates Waitlist For HCBS For Developmental Disabilities 
• Maine Medicaid System: An OPEN MINDS State Profile
• Maine Dual Eligible System: An OPEN MINDS State Profile
• Maine Health & Human Services System Market Profile: An OPEN MINDS State Profile
• Maine Behavioral Health System State Profile Report
• Florida Dual Eligible System: An OPEN MINDS State Profile
• Florida Behavioral Health System: An OPEN MINDS State Profile
• 55% Of Behavioral Health Professionals Accepted New Appointments For Medicare Or Medicaid Beneficiaries, With A 30-Day Wait For Many, A Survey States 
• Citing Financial Challenges, UCare To Withdraw From Non-Senior Minnesota Medicaid In 11 Counties  
• Kentucky Medicaid Community Engagement Demonstration Request
• New York Cracks Down On ‘Ghost Networks’ With 10-Day Behavioral Health Access Standard 

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

• 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 Ends Medicaid HRSN Pilots Despite Savings & Fewer ED Visits
• CMS Approves Minnesota’s Medicaid 1115 Demonstration Amendment, Expanding Eligibility For Former Foster Youth
• Nearly Half Of Behavioral Health Professionals Declining New Appointments For Medicare & Medicaid Beneficiaries 

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