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

• Maryland Selects The Coordinating Center For Statewide Medical Day Care Waiver Case Management
• Habitat Health With Kaiser Permanente Opens South Los Angeles PACE Center For Adults Age 55 & Over
• Mandatory & Optional Enrollees & Services In Medicaid
• Between 2016 & 2021, Youth Medicaid & CHIP Diabetes Prevalence Increased By 11.4%
• Risk Of Medicaid Disenrollment Highest At Age 19 Among Young Adult Beneficiaries
• Alliance Health Partners With Promise Recovery Network & Wake County On Recovery Hub In Downtown Raleigh, North Carolina
• Medicare Spending Projected To Double By 2036; Medicaid Spending To Rise By Half
• Dementia Diagnosis Strongly Associated With Initial Use Of Nursing Home Care Among Dually Eligible Older Adults
• HHS & CMS Announce Nationwide Medicare & Medicaid Fraud Prevention Strategies
• 18 States Urge CMS To Reinstate Targeted Nursing Home Staffing Mandate For Certain For-Profit Operators
• State Medicaid & CHIP Toolkit For Children’s Behavioral Health Services & The Early & Periodic Screening, Diagnostic & Treatment (EPSDT) Requirements
• Minnesota Medicaid Audit Flags $1 Billion In Potentially Improper Payments
• Nevada Reissues RFP For Specialty Managed Care Plan For Children With Complex Behavioral Health Needs
• Blue Shield Of California Promise Health Plan Sponsors $80,000 For Medical Assistant Training Scholarships In San Diego County
• Hawaii Medicaid Rebids $60 Million BHO Contract For Adult Community Mental Health Services

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

• Michigan Rescinds Medicaid Behavioral Health Restructuring RFP Following Court Ruling
• New Federal Legislation Streamlines Out-Of-State Medicaid Enrollment For Pediatric Provider Organizations
• Ruling On Region 10 PIHP et al, v. Michigan Department Of Health & Human Services
• Topeka Correctional Facility In Kansas Launches Community Health Worker Development Reentry Program
• Ohio Department Of Behavioral Health Selects Two Adult Mobile Crisis Pilot Sites

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