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Implications of Work Requirements in Medicaid: What Does the Data Say?

  • Vast majority of enrollees targeted by work requirements are already working or would qualify for an exemption.
  • Low-wage and part-time work may not be sufficient to overcome poverty.
  • Many non-working enrollees who could be exempt would need to navigate an exemption process.

The Coverage Gap: Uninsured Poor Adults in States that Do Not Expand Medicaid

Nationally, 2.2M poor uninsured adults are in the “coverage gap” that results from state decisions not to expand Medicaid.

Key Questions about Medicaid Payment for Services in “Institutions for Mental Disease.”

Congress is considering amending the IMD payment exclusion, including a House bill that restricts IMD SUD services to those with opioid use disorder.

Medicaid Waiver Tracker: Which States Have Approved and Pending Section 1115 Medicaid Waivers?

Use our interactive map to view states’ approved and pending waivers according to category:

  • Medicaid expansion
  • Work requirements
  • Eligibility and enrollment restrictions
  • Benefit restrictions, co-pays, healthy behaviors
  • Behavioral health
  • Managed Long Term Services and Supports
  • Delivery system reform

Status of State Action on Medicaid Expansion

See the latest information regarding states’ decisions about adopting the Medicaid expansion.

Governors’ Proposed Budgets for FY 2019: Focus on Medicaid and Other Health Priorities

This brief provides Medicaid highlights from governors’ proposed budgets for state FY 2019. We reviewed 39 proposed state budgets and text from 46 state-of-the-state speeches.

The Effects of Medicaid Expansion under the ACA: Updated Findings from a Literature Review

Our summary reviews findings from 202 studies of the impact of state Medicaid expansions under the ACA published between January 2014 and February 2018.

How Does the Trump Administration Drug Pricing Blueprint Affect Medicaid?

While Medicaid-specific provisions focus on increasing manufacturer rebates, other discussion in the Blueprint suggests concern over Medicaid rebates leading to higher prices system-wide.

Infographic: Medicaid’s Role in Addressing the Opioid Epidemic

A 1-page distillation of information and statistics about the opioid epidemic and Medicaid’s role in covering addiction treatment services.

Snapshots of Recent State Initiatives in Medicaid Prescription Drug Cost Control

Rising Medicaid spending on prescription drugs has prompted many states to look for new ways to control such costs. We look at current state initiatives aimed at addressing the issue.

How Might Medicaid Adults with Disabilities Be Affected By Work Requirements in Section 1115 Waiver Programs?

Waivers that condition Medicaid eligibility on meeting a work requirement could adversely affect people with disabilities who have limitations that interfere with their ability to work but do not rise to the SSI level.

Medicaid Managed Care Plans and Access to Care: Results from the KFF 2017 Survey of MCOs

  • Plan Characteristics, Enrollees, and Services
  • Provider Networks and Access to Care
  • Member Experience and Access to Care
  • Provider Payment and Delivery System Reform

Implications of Emerging Waivers on Streamlined Medicaid Enrollment and Renewal Processes

Recently approved and proposed waivers and other proposed policies include new eligibility and enrollment requirements and restrictions that run counter to the ACA’s streamlined processes.

Access to Mental Health Services: Medicaid, Private Insurance, and Uninsured

  • Medicaid plays an important role for individuals with mental health conditions, particularly those with low incomes
  • Adults with mental illness on Medicaid more likely to receive treatment than those with private insurance or no insurance
  • Receipt of psychiatric medication is more common among adults on  Medicaid compared to those with private insurance or no insurance

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.