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

• 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
• Largest Health Plans In Each State By Estimated Enrollment, 2024: 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
• Missouri Medicaid System: An OPEN MINDS State Profile
• Missouri Health & Human Services System State Profile Report
• Missouri Behavioral Health System: An OPEN MINDS State Profile
• The Medicaid Moving Target

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

• Complicated Choices
• CMS Denies Matching Funds For Managed Care Payments For Emergency Medicaid Coverage For Immigrants Ineligible For Full Benefits
• 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 

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