A View of Medicaid Today and a Look Ahead: Balancing Access, Budgets and Upcoming Changes
This report highlights key policy priorities and issues state Medicaid programs focused on in FY 2025 and are prioritizing in FY 2026.
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Medicaid Managed Care’s Impact On Safety-Net Clinics In California
Fact SheetMedicaid Managed Care's Impact On Safety-Net Clinics In California Medicaid Managed Care's Impact On Safety-Net Clinics In California was published in the January/February 2000 issue of the journal Health Affairs. The report provides an overview of Medi-Cal Managed Care in California, and its effects on community health clinics, and related issues.
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S-CHIP Implementation in California
ReportThis report examines the design and implementation of California's State Children's Health Insurance Program (known as Healthy Families), including contracting issues, program design and administration, and access to care by adolescents and children with special health care needs.
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Medicaid’s New “Health Home” Option
Issue BriefThis brief provides key information about the new option for state Medicaid programs to provide "health home" services for enrollees with chronic conditions. The option, established under the new health reform law, took effect on Jan. 1, 2011.
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Medicaid and Managed Care
Fact SheetThis fact sheet provides an overview of the Medicaid program's increasing reliance on managed care to deliver services.
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Medicaid Support for Family Planning in the Managed Care Era
ReportAs the largest source of public funding for contraceptive care in the United States, Medicaid plays a crucial role in financing family planning services and supplies for millions of low-income women across the nation.
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Statewide Medicaid Managed Care Demonstrations under Section 1115 of the Social Security Act:
ReportA Review of the Waiver Applications, Letters of Approval and Special Terms and Conditions This background paper provides a summary of the key features of the Medicaid 1115 waivers that have been approved, proposed, implemented and conditionally rejected.
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Native Americans and Medicaid: Coverage and Financing Issues
Other PostNative Americans and Medicaid:Coverage and Financing Issues Medicaid as Medicare Premium Assistance The Medicare program provides health insurance coverage for the nation's elderly and disabled.
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State Policies Expanding Access to Behavioral Health Care in Medicaid
Issue BriefOn KFF’s 21st annual Medicaid budget survey, all responding states reported at least one initiative to expand behavioral health care in Medicaid, including crisis service and other benefit expansions, initiatives to expand telehealth and address equity, and managed care changes.
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Medi-Cal Managed Care: An Overview and Key Issues
Issue BriefCalifornia’s Medicaid program, Medi-Cal, is the largest state Medicaid program in the nation, insuring almost one-third of Californians. For several decades, Medi-Cal has been transitioning from a fee-for-service (FFS) system to risk-based managed care, and more than three-quarters of all Medi-Cal beneficiaries, including low-income children, adults, seniors, and people with disabilities, are now enrolled in managed care plans. As other state Medicaid programs increase their reliance on risk-based managed care, a review of California’s transition is both timely and illustrative. This issue brief provides an overview of the evolution of Medi-Cal managed care, key issues, and lessons for managed care programs in other states.