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

• Ohio Medicaid Announces Statewide Expansion of Next Generation MyCare Program
• New York Medicaid Imposes Six-Month Moratorium On New Enrollments In ‘High-Risk’ Provider Organization Categories
• CMS Issues Outline Of Suggested State Medicaid Autism Therapy Oversight
• Delaware Adds Three New Services To State’s Lifespan Waiver For People With Autism & I/DD
• Alliance Health & Cortica Partner To Enhance Autism Care In North Carolina
• Medicaid Subscription-Based Payment Models For Hep C Drugs In Louisiana & Washington State Had A Larger Impact In Louisiana Due To Policy Factors
• Indiana Medicaid Implements Six-Month Moratorium On Enrolling New HCBS Waiver Provider Organizations
• New Illinois Law Requires I/DD Congregate Care & Provider Organizations To Disclose Ownership By Asset Management Companies
• State Medicaid & Children’s Health Insurance Program Applied Behavior Analysis Toolkit
• Delaware Lifespan Waiver Application For 1915(c) HCBS Waiver
• Draft Delaware Lifespan Waiver Application For 1915(c) HCBS
• State Medicaid & Children’s Health Insurance Program Applied Behavior Analysis Toolkit
• The Economics Of Innovation
• Two Sides, Same Coin
• Alliance Health Launches AI-Powered Provider Directory Search To Help Members More Easily Find Care

Florida Pediatric Group Sues State Over Medicaid Payment Rate Cuts Following ABA Transition

A large pediatric provider organization in Florida is suing the state Medicaid program in an effort to recover primary care funding it alleges was lost after the state revised Medicaid payment rates. The complaint, filed by Pediatric Associates, seeks an order requiring the Florida Agency for Health Care Administration (AHCA) to recalculate the payment rates. The organization serves about 15% of all child Medicaid beneficiaries in the state representing more than 300,000 children, according to… Read

• Kentucky Governor Reverses Planned 4% Medicaid Rate Cut Using $255 Million In State Surplus
• Georgia Restructures Public Behavioral Health Community Service Boards
• About Half Of Adult Medicaid & SNAP Beneficiaries Worked Full-Time In 2024, Less Likely Than Non-Participants To Have 50 Full-Time Weeks
• Wisconsin Medicaid Selects Six MCOs For Family Care & Partnership Contracts In GSR 3
• Nebraska Grants Dawson County A Temporary Exemption From Medicaid Work Requirements Due To High Unemployment Rate

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