Managed Care Programs

States Go Beyond Federal Requirements To Fight Medicaid Home Care Fraud

Molina assumes $6B Florida Medicaid, CHIP special contract

Molina assumes $6B Florida Medicaid, CHIP special contract  Becker's Payer Issues

What MGMA's fight over downcoding and prior authorization means for physicians

What MGMA's fight over downcoding and prior authorization means for physicians  Medical Economics

Complex relationship between maternal unit closures and SDP funds

State-directed payments (SDPs) are credited with maintaining maternal healthcare access. However maternal care units continue to close, despite record SDP funding. Looming cuts to SDPs are widely expe...

States’ Use of Program Integrity Tools in Medicaid Home Care

This issue brief provides new information about Medicaid home care program's use of program integrity tools from KFF’s most recent survey of state Medicaid home care programs.

A Look at Waiting Lists for Medicaid Home- and Community-Based Services from 2016 to 2026

This data note provides new information about waiting lists from KFF’s most recent survey of state Medicaid home care programs, including a discussion of why waiting lists are an incomplete measure of...

Massachusetts Medicaid Seeks 1115 Waiver Extension Adding Hospital Incentives & Global Budgeting - open minds

Massachusetts Medicaid Seeks 1115 Waiver Extension Adding Hospital Incentives & Global Budgeting  open minds

CMS Renews D.C. Medicaid Waiver Through 2031, Adds Coverage Of Pre-Release Services - open minds

CMS Renews D.C. Medicaid Waiver Through 2031, Adds Coverage Of Pre-Release Services  open minds

Nebraska Medicaid Changes ABA Billing & Prior Authorization Requirements - open minds

Nebraska Medicaid Changes ABA Billing & Prior Authorization Requirements  open minds

Medicare GLP-1 Bridge program: Medicaid enrollees can get GLP-1 drugs for $50 starting in July

Medicare GLP-1 Bridge program: Medicaid enrollees can get GLP-1 drugs for $50 starting in July  ABC11 News