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Medicaid Budge Survey Event

Medicaid Spending, Enrollment and Policy Trends: A View from the States

On Friday, Oct. 18, KFF released its 19th annual 50-state Medicaid budget survey for state fiscal years 2019 and 2020. KFF and the National Association of Medicaid Directors (NAMD) held a joint briefing to discuss trends in enrollment and spending and highlight key Medicaid policy developments.

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The Henry J. Kaiser Family Foundation

Mapping Medicaid Delivery System and Payment Reform

This interactive provides state-by-state data on Medicaid delivery system and payment reform initiatives. Users can track state Medicaid managed care, patient-centered medical home (PCMH), Health Home, Accountable Care Organization (ACO), and Delivery System Reform Incentive Payment (DSRIP) waiver activity.

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A View from the States: Key Medicaid Policy Changes: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2019 and 2020

This report provides an in-depth examination of the changes taking place in Medicaid programs across the country. The findings are drawn from the 19th annual budget survey of Medicaid officials in all 50 states and the District of Columbia conducted by the Kaiser Family Foundation (KFF) and Health Management Associates (HMA), in collaboration with the National Association of Medicaid Directors (NAMD). This report highlights certain policies in place in state Medicaid programs in FY 2019 and policy changes implemented or planned for FY 2020.

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Medicaid Enrollment & Spending Growth: FY 2019 & 2020

This brief analyzes Medicaid enrollment and spending trends for FY 2019 and FY 2020 based on interviews and data provided by state Medicaid directors as part of the 19th annual survey of Medicaid directors in all 50 states and the District of Columbia. States reported declines in Medicaid enrollment and modest growth in total Medicaid spending for state fiscal year (FY) 2019 and budgeted for nearly flat enrollment growth but a return to more typical rates of spending growth for FY 2020.

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Medicaid State Fact Sheets

What percentage of people are covered by Medicaid in your state? Our State Medicaid fact sheets provide a snapshot with key data for Medicaid in every state related to current coverage, access, and financing, as well as a politics section for each state.

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Many Community Health Centers Report That Immigrant Patients Are Declining to Enroll in Medicaid or Renew Their Coverage Amid Concerns About Changes to Public Charge Rules

Nearly half (47%) of community health centers report that many or some immigrant patients declined to enroll themselves in Medicaid in the past year, according to a new KFF survey, and nearly a third (32%) of centers say that some patients dropped or decided not to renew such coverage. Interviews…

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Impact of Shifting Immigration Policy on Medicaid Enrollment and Utilization of Care among Health Center Patients

On August 14, 2019, the Trump administration published a final rule to broaden the programs the federal government will consider in public charge determinations to include Medicaid coverage for non-pregnant adults and certain previously excluded nutrition and housing programs. To learn about the possible early effects of the public charge rule and other immigration policies on patients at community health centers, this brief draws on interviews and survey data to capture health center directors’ and staff’s perceptions of changes in coverage and service use among their patients who are immigrants.

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Medicaid and HIV

This fact sheet provides an overview of the role of Medicaid for people with HIV, including trends and characteristics of beneficiaries, spending, services and other issues.

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Recent Medicaid/CHIP Enrollment Declines and Barriers to Maintaining Coverage

Recently there have been declines in Medicaid and CHIP enrollment, reversing a previous trend of increases following implementation of the ACA. Experiences in some states suggest that renewal process requirements and growing use of periodic eligibility checks may be contributing to disenrollment among people who are still eligible for coverage as well as increased churn in coverage. This brief reviews current rules and state processes related to renewal and periodic eligibility reviews and discusses potential process issues that may be contributing to Medicaid and CHIP enrollment declines.

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Characteristics that could count against immigrants in public charge determinations, kff

Estimated Impacts of Final Public Charge Inadmissibility Rule on Immigrants and Medicaid Coverage

On October 10, 2018, the Trump administration released a proposed rule to change “public charge” policies that govern how the use of public benefits may affect individuals’ ability to obtain legal permanent resident (LPR) status. This analysis provides new estimates of the rule’s potential impacts.

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