Medicaid

CMS is imposing a $48,833 fine against a Providence PACE organization in Napa, Calif., according to an April 29 notice from the agency. The penalty was issued to Collabria Care, the name under which Providence Community Health Napa Valley holds…

On May 1, Nebraska becomes the first state to launch Medicaid work requirements under HR 1, setting the stage as other states prepare to follow suit by 2027. The community engagement requirements will apply to adults — with some exceptions…

Baylor Scott & White Health Plan is exiting the Texas Medicaid managed care market by the end of August and will no longer offer individual marketplace plans past 2026. The insurer, part of the Dallas-based health system, administers Medicaid benefits…

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…