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.
Editor’s Picks
- 43% Of California Medicaid Child Psychiatrists Unable To Offer Timely Urgent Appointments
- Rhode Island Rebids Medicaid Managed Care Services
- Few Medicaid Plans Have Value-Based Reimbursement For Addiction Treatment
- North Carolina Medicaid Raising Behavioral Health Reimbursement Rates For First Time Since 2012
Latest Resources
- Delaware Seeks Medicaid & Healthy Children Program Health Benefits Manager Services
- Montana Medicaid Launches Tenancy Supports, Contingency Management & Justice-Involved Reentry Services
- PACE Operator InnovAge Enters Florida
- CMS Adjusts Medicare Policy To Offer Accelerated Payments To Respond To The Change Healthcare Cyberattack, Urges State Medicaid Programs Do The Same
- Nursing Homes Sue Ohio Medicaid Over Changes To Reimbursement Methodology
- Florida Sues Medicaid Over CHIP Continuous Enrollment Requirement
- Illinois’ DuPage County Seeks Medicaid/Medicare Cost Reporting Services
- Medicaid – Navigating The Shifting Tides
- Feds Expand Medicaid Options For Claiming Administrative Expenses For More Types Of Behavioral Health Professionals
- Oregon Medicaid System: An OPEN MINDS State Profile
- Oregon Health & Human Services System State Profile Report
- Oregon Dual Eligible System: An OPEN MINDS State Profile
- Making Primary Care Work
- Texas Medicaid System: An OPEN MINDS State Profile
- Texas Dual Eligible System: An OPEN MINDS State Profile
Dual eligibility refers to an individual who can receive both Medicare and Medicaid benefits. While the programs have similar services, Medicare pays for Medicare-covered services that can also be covered by Medicaid. Medicaid covers some services that Medicare does not. Dual eligible individuals (“duals”) are enrolled in either Medicare Part A or Part B, or both, and in Medicaid. They can also participate in the Medicare Savings Programs (MSPs). Dual eligibility can be partial or… Read
- Texas Health & Human Services System State Profile Report
- CMS To Require Money Follows The Person States To Begin Early Reporting On Medicaid HCBS Quality Measures
- Pennsylvania Seeks Enrollment Assistance Program Services For The HealthChoices Physical Health Program & Children’s Health Insurance Program
- The Changing Health Plan Perspective
- New Mexico Medicaid To Add Mobile Behavioral Health Crisis Intervention Teams
Latest Industry Bulletins
- PACE Operator InnovAge Enters Florida
- I/DD-Focused Partnership Solutions Acquires Medicare ACO, Alliance For Integrated Care Of New York
- Montana To Provide $600,000 To Five I/DD Support Organizations To Train & Certify Direct Support Professional Workforce
- Sunflower Health Plan & Centene Foundation Grant $390,000 To Kansas I/DD Organization
Latest Industry News
- Montana Medicaid Launches Tenancy Supports, Contingency Management & Justice-Involved Reentry Services
- CMS Adjusts Medicare Policy To Offer Accelerated Payments To Respond To The Change Healthcare Cyberattack, Urges State Medicaid Programs Do The Same
- Nursing Homes Sue Ohio Medicaid Over Changes To Reimbursement Methodology
- Florida Sues Medicaid Over CHIP Continuous Enrollment Requirement
- Feds Expand Medicaid Options For Claiming Administrative Expenses For More Types Of Behavioral Health Professionals