Medicaid

The Kaiser Commission on Medicaid and the Uninsured has been monitoring the development of the Pharmacy Plus waiver initiated by the Bush Administration in 2002 and tracking the states that have pending or approved plans. The Commission has developed some materials describing the initiative, examining the financing mechanism, and discussing…

In January 2003, the Bush Administration put forth a proposal to restructure Medicaid and SCHIP in ways that could fundamentally alter the two programs. This policy brief provides a detailed explanation of what is known about the key elements of the proposal and includes a discussion of the proposal’s implications.…

Background Paper

This issue brief explores how California and other states are attempting to preserve a meaningful set of benefits under Medicaid during the current budget crisis, when services are most needed and state resources are most scarce. This brief is being distributed in Sacramento at the latest California Health Policy Roundtable…

This policy brief describes Pharmacy Plus waivers being considered by some states for their Medicaid program and their implications for Medicaid financing. These waivers offer an opportunity for prescription drug coverage for low-income seniors, but they also include a major change in the financing of care for all seniors on…

This report, the seventh in an annual series, provides an overview of the status of state-administered AIDS Drug Assistance Programs (ADAPs) and documents how these programs are responding to the changing fiscal, clinical and epidemiological dynamics of HIV/AIDS.ADAPs, authorized under Title II of the Ryan White Comprehensive AIDS Resources Emergency…

This report is a case study of five states’ (California, Georgia, Oklahoma, Oregon, and Washington) implementation of prior authorization in their Medicaid programs.

This report details the rules governing prior authorization programs and the major steps in a model process based on key issues raised by beneficiary advocates, provider groups and states.Report

The Kaiser Commission on Medicaid and the Uninsured is closely following waiver activity to provide information on how these waivers are impacting the uninsured and affecting Medicaid and SCHIP and the coverage provided to low-income beneficiaries. Tennessee Section 1115 Waiver Amendment Proposal Fact SheetCalifornia Section 1115 Waiver Fact SheetColorado Section…

This fact sheet summarizes the issues surrounding premiums and cost-sharing in public coverage programs and discusses the impact of these mechanisms on participation and health outcomes, particularly for low-income populations. Fact Sheet (.pdf)