Medicaid

Molina Healthcare took over the contract for a specialized Florida Medicaid and CHIP plan, previously managed by Centene’s Sunshine Health, on Oct. 1. Molina first announced it had secured the contract in November 2025, but the start date had not…

Five Democratic governors have asked HHS Secretary Robert F. Kennedy Jr. to delay the Jan. 1, 2027, compliance date for Medicaid work requirements, stating that they cannot implement the rules responsibly in the fewer than 100 days that remain. The…

Dallas-based Baylor Scott & White Health reported operating income of $1.5 billion (8.3% margin) during the fiscal year ending June 30, 2026, down from a $1.7 billion operating gain (10% margin) in the previous fiscal year, according to financial statements…

While Medicaid Fraud Control Units have existed under federal law since 1977, the units have received renewed attention amid the Trump administration’s fraud, waste and abuse crackdown. KFF recently broke down the role of these state-level law enforcement entities and…

CMS is working with 37 states on quality measurement in Medicaid and the Children’s Health Insurance Program, the agency shared Sept. 25. The initiative, called “Investing in Health Outcomes,” allows states to sign onto a voluntary pledge centered on prioritizing…

Tennessee’s Medicaid program claimed $59.3 million in federal reimbursement for case management services provided to children who did not qualify for them, the HHS Office of Inspector General said in an audit report published Sept. 23. The OIG’s recommendations are…

Under HR 1, many lawfully present immigrants will face narrower Medicaid and CHIP eligibility policies on Oct. 1. According to a Sept. 22 KFF brief, some lawfully present immigrants could lose coverage, as a result. To be eligible for Medicaid…

A coalition of five Medicaid beneficiaries, six physician and health organizations and the city of Columbus, Ohio, sued HHS Secretary Robert F. Kennedy Jr., CMS Administrator Mehmet Oz, MD, and their agencies Sept. 18, arguing CMS’ interim final rule on…

Forty states and Puerto Rico have signed agreements to join the Generous Model, a Medicaid drug payment initiative that ties prices for certain prescription drugs to what other developed nations pay, CMS announced Sept. 18.  Four things to know: 1.…

Elevance Health is laying off 216 employees in Louisiana as part of the wind-down of its Medicaid business in the state. The layoffs are set to take effect by the end of the year at the insurer’s Metairie office, according…