Medicaid

California’s Medicaid program, Medi-Cal, will reduce its asset limits by 84% on July 1, 2027. Prior to July, those qualifying for Medi-Cal can have up to $130,000 in assets for one person, adding $65,000 for every other person in the…

Nebraska estimated that about 200 people from its expansion population have lost Medicaid coverage Aug. 1 amid its first work requirements check. Tradeoffs reported on the projection from Nebraska’s Medicaid director, Drew Gonshorowski, July 30. Over the next year, Nebraska…

A federal judge on July 29 denied a request from 25 states and Washington, D.C., to temporarily block parts of the Trump administration’s Medicaid work requirement rule. Six things to know: 1. U.S. District Judge Richard Stearns denied the states’…

Indiana Gov. Mike Braun directed the state to partake in CMS’ “Better Approaches to Lifestyle and Nutrition for Comprehensive hEalth” model for GLP-1 access in Medicaid. According to a July 30 Indiana news release, under the pilot, GLP-1s will cost…

CMS says its “Medicaid Fraud War Room” has identified 50 high-risk providers tied to more than $203 million in Medicaid payments in its first 88 days. In a July 28 news release, CMS characterized the payments as “potentially improper,” and…

Indiana Health Coverage Programs got CMS approval to progress with an enrollment and certification moratorium for some Medicaid providers beginning Aug. 1. According to a July 23 bulletin, the freeze will continue for six months. IHCP can extend the pause in six-month…

CMS on July 21 proposed sweeping changes to Medicaid provider tax policy that would replace the longstanding 6% federal threshold with state- and provider-specific limits, phase down allowable taxes in Medicaid expansion states, create a new provider tax class for…

HHS and CMS are deferring more than $1 billion in federal Medicaid funds to Minnesota and California, agency officials confirmed July 21.  The agencies said they are deferring approximately $867.5 million in payments to California and $199 million to Minnesota…

Basing Medicaid drug prices on what other wealthy countries pay could save 47 states and the District of Columbia a combined $8.6 billion — about 35% of net spending on the drugs studied — according to research published July 15…

The Maryland Department of Health did not audit pharmacy claims for three of its four fee-for-service pharmacy programs, leaving approximately $674.5 million in fiscal 2025 claims without routine reviews for fraud, waste, abuse and billing violations, according to a July…