State Medicaid agencies have made an estimated $289 million in improper capitation payments to managed care organizations on behalf of deceased enrollees since 2016, according to a series of audits from the HHS Office of Inspector General. The latest OIG…
Medicaid
The Board of County Commissioners in Multnomah County, Ore., approved $2.4 million Dec. 11 to partially address a $4.6 million budget gap left when the state’s largest Medicaid provider, CareOregon, rolled back spending for behavioral healthcare, according to a Dec.…
Children continuously enrolled in Medicaid had lower emergency department use, according to a study published Dec. 22 in Pediatrics. The study was led by researchers from Ann Arbor-based University of Michigan, Atlanta-based Emory University, Minneapolis-based University of Minnesota and Columbia…
The Louisiana Department of Health is extending UnitedHealthcare’s Medicaid contract through March 31, the insurer confirmed to Becker’s in a Dec. 18 statement. The state previously decided to cut the contract, which would have expired Dec. 31, thanks to an…
The One Big Beautiful Bill Act will bring sweeping changes to Medicaid beginning in 2027, while enhanced ACA premium tax credits are set to expire at the end of this year, creating uncertainty for millions of enrollees. California stands to…
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CMS issued a bulletin Dec. 8 outlining guidance on Medicaid’s forthcoming work requirements. Some states are already embracing work requirements, while others are looking for exceptions. Here are eight things to know: 1. Work requirements will kick in Jan. 1,…
Wisconsin Democratic Gov. Tony Evers vetoed a State Assembly bill that prevents immigrants lacking permanent legal status from getting healthcare reimbursement Dec. 5, despite these individuals already being ineligible to enroll in BadgerCare Plus, Wisconsin’s Medicaid program. While Wisconsin currently…
The North Carolina Department of Health and Human Services launched a health plan specifically tailored for Medicaid-enrolled children, youth and young adults, dubbed Healthy Blue Care Together, Dec. 1. The statewide health plan — formed in partnership with Blue Cross…
The Illinois Department of Healthcare and Family Services launched home-visit coverage for pregnant and parenting Medicaid enrollees, effective Nov. 21. Under the initiative, the state covers some prenatal visits, including sessions for health education, blood pressure monitoring, behavioral health screenings,…
Medicaid information sharing with Immigration and Customs Enforcement officials will pick back up shortly, according to a Nov. 21 CMS notice. “This notice announces CMS policy that CMS will provide certain information to ICE upon request from ICE consistent with…