Medicaid

Arkansas will begin a soft launch of Medicaid work and community engagement requirements for enrollees in its Medicaid expansion program on July 1, with full enforcement set to begin Jan. 1, 2027. State officials said in February that healthy adults…

Nebraska will roll out Medicaid work requirements in May, making it the first expansion state to implement these provisions under HR 1.  Here are four notes leading up to Nebraska’s launch: 1. Medicaid expansion states must implement community engagement requirements…

CMS has issued operational guidance to states regarding how to implement H.R. 1’s Medicaid coverage restrictions for noncitizens, which take effect Oct. 1. On April 8, the agency outlined how states must update eligibility systems, applications, verification processes and claims…

Ten states have not expanded Medicaid under the ACA. If those states were to move toward expansion, 2.3 million people would secure health insurance coverage. While Medicaid expansion has long been a possibility, there is still some room for upheaval…

In early February, Republican lawmakers in Oklahoma introduced a state bill and joint resolution that could shake up the future of Medicaid expansion. The April 6 version of HB 4440 poses a state question asking whether Medicaid expansion provisions should…

As the Medicaid cuts from H.R. 1 begin to settle in, states are looking for workarounds to continue funding their programs. Iowa Republican Gov. Kim Reynolds signed a bill March 25 allowing a steeper HMO tax, which will also affect…

CMS has introduced a new model to support whole-person care for children up to age 21 enrolled in Medicaid and the Children’s Health Insurance Program.  The Accelerating State Pediatric Innovation Readiness and Effectiveness Model will run for 10 years and…

CMS approved Minnesota’s plan to tackle Medicaid integrity concerns, according to a March 19 letter to the state’s Medicaid director. In January, CMS informed Minnesota of “several deficiencies” in the state’s Dec. 31 plan submission to resolve integrity concerns, which…

The Trump administration is widening its Medicaid fraud crackdown to Florida, with CMS sending a letter March 17 to Gov. Ron DeSantis and other state leaders that requests information on how the state identifies, prevents and addresses Medicaid program integrity…

A Kansas Senate bill introduced in February is aiming to broaden Children’s Health Insurance Program eligibility in the state. SB 271 strives to raise the income threshold for CHIP eligibility from 250% of the federal poverty line, removing the prior…