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

• Louisiana Department Of Health Ends Medicaid Contract With UnitedHealthcare
• OIG Finds Nursing Homes Inappropriately Diagnosed Residents With Schizophrenia To Mask Misuse Of Antipsychotic Drugs
• CMS Launches CRUSH Program To Defer And Withhold Federal Medicaid Funds During Fraud Investigations
• Nebraska Audit Identifies Billing Irregularities And Potential Fraud In Medicaid Personal Care Program
• Nevada Medicaid Issues Notices Of Intent To Award CO D-SNP Contracts To Five Health Plans
• Nursing Homes’ Inappropriate Use Of Antipsychotic Drugs Poses A Risk To Residents
• Washington State Medicaid Community First Choice Offers ElliQ AI Smart Care Device For LTSS Beneficiaries
• New York OPWDD Launches Home-Enabling Supports Program To Expand Use Of Assistive Technology For I/DD Population
• Indiana To Rebid Contracts For Its Four Medicaid Managed Care Programs In A $68 Billion Procurement Expected In August 2026
• House Medicaid Fraud Probe Extends To 10 States
• Superior HealthPlan Names Cute Pediatrics As The First Rio Grande Valley Provider To Earn Foster Care Distinction
• New York Legislation & Provider Organizations Propose Medicaid Behavioral Health Carve-Out
• Nebraska Adopts New Disability Assessment Tool; Some Beneficiaries See Reduced Services
• Indiana FSSA SFY26 Q2 Quarterly Financial Review
• Karuna Care Services Expands To Littleton, Colorado

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

• New York Senate Bill 8309/Assembly Bill 8055: Returns Outpatient Mental Health, Substance Use Disorder, Residential & Rehabilitation Services To Medicaid Fee-For-Service
• U.S. Personal Health Care Spending By Age & Sex: 2020 Highlights
• Make It At School
• Idaho Department Of Health & Welfare Memo To The Legislature About Medicaid Budget Stabilization
• Maryland Selects The Coordinating Center For Statewide Medical Day Care Waiver Case Management

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