Program Integrity in Medicaid: A Primer
Medicaid covers more than 60 million Americans and accounts for about one in six dollars spent on health care in the United States.
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A Focus Group with Medicaid Directors: As FY 2012 Ends, Looking Toward FY 2013
ReportThis report is based on a focus group discussion in May 2012 with the Executive Board of the National Association of Medicaid Directors (NAMD) and other leading Medicaid directors. The group of nine directors reflected perspectives from various regions of the country.
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Behavioral Health: Can Primary Care Help Meet the Growing Need?
Event Date:EventThe health reform law has specific provisions covering mental health and substance use conditions, as well as general provisions to benefit those in need of behavioral health services. While addressing unmet needs, the reform law provisions raise new challenges.
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Five Key Questions About Medicaid And Its Role in State/Federal Budgets and Health Reform
ReportThis fact sheet highlights key issues about Medicaid, including the structure, financing and purpose of the program, its role for low-income beneficiaries, its share of the federal budget and state budgets, and the significant implications of the coverage expansion under the Affordable Care Act. Fact Sheet (.
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States Getting a Jump Start on Health Reform’s Medicaid Expansion
Issue BriefOne of the primary goals of the Affordable Care Act (ACA) is to decrease the number of uninsured through a Medicaid expansion to nearly all individuals with incomes up to 133 percent of the federal poverty level (FPL) ($14,856 for an individual or $25,390 for a family of three in 2012) and the creation of…
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Governors’ Budgets for FY 2013 — What is Proposed for Medicaid?
Issue BriefThis report provides Medicaid highlights from governors' proposed state budgets for FY 2013, which starts July 1, 2012 for most states. While some states are beginning to see signs of economic recovery, many remain cautiously optimistic as they continue to experience the recession's lingering effects.
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Essential Health Benefits: Balancing Affordability and Adequacy
Event Date:EventUnder the Patient Protection and Affordable Care Act (PPACA), insurance plans offered through state insurance exchanges as well as non-grandfathered plans offered in the individual and small group markets - will be required to cover a set of health benefits and services called the "essential health benefits" package.
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Medicaid and Managed Care: Key Data, Trends, and Issues
Issue BriefThis brief provides a snapshot of the Medicaid program's use of managed care to deliver services to beneficiaries.
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Medicaid Enrollment and Expenditures by Federal Core Requirements and State Options
Issue BriefTo receive federal Medicaid matching funds, states that participate in Medicaid must meet federal requirements, which include covering specified “federal core” enrollee groups and mandatory health benefits. States also may choose to cover additional “state expansion” enrollees and optional benefits with federal Medicaid matching funds.
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Impact of the Medicaid Fiscal Relief Provisions in the American Recovery and Reinvestment Act (ARRA)
Issue BriefThe American Recovery and Reinvestment Act (ARRA), enacted in February 2009, has provided $103 billion in federal fiscal relief to state Medicaid programs over a period of two-and-a-half years to help them address the effects of the 2007-2009 recession.