Medicaid

Medicaid Work Requiremnts

Tracking work requirements

Tracking Medicaid Work Requirements: Data and Policies

To implement Medicaid work requirements, states will need to make important policy and operational decisions, implement needed system upgrades or changes, develop new outreach and education strategies, and hire and train staff, all within a relatively short timeframe. KFF is tracking key data and policy information related to Medicaid work requirements and how states are approaching implementation.

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understanding medicaid

Medicaid Financing

Medicaid represents $1 out of every $5 spent on health care in the U.S. and is the major source of financing for states to provide health coverage and long-term care. This brief examines key questions about Medicaid financing and how it works.

Medicaid Program Integrity

This brief explains what is known about improper payments and fraud and abuse in Medicaid and describes ongoing state and federal actions to address program integrity.

Medicaid and Provider Taxes

All states except Alaska cover some state Medicaid costs with taxes on health care providers. This brief uses data from KFF’s 2024-2025 survey of Medicaid directors to describe current practices and the federal rules governing them.

Medicaid and Hospitals

Absorbing reductions in Medicaid spending could be challenging for hospitals, particularly for those that are financially vulnerable. This brief provides data on the reach of Medicaid across hospitals, patients, and charity care.

Medicaid Home Care

This issue brief provides an overview of what Medicaid home care (also known as “home- and community-based services”) is, who is covered, and what services were available in 2025.

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  • State Actions to Address Nursing Home Staffing During COVID-19

    Issue Brief

    This issue brief summarizes federal and state standards related to nursing home staffing prior to COVID-19 and builds on existing information by identifying changes to state minimum staffing requirements adopted since the onset of the COVID-19 pandemic. We also examine state legislative and regulatory actions since the onset of the pandemic that directly affect worker wages and training requirements.

  • COVID-19 Vaccination Rates Among Nursing Home Staff Have Risen by 25 Percentage Points Since the Biden Administration Announced a Vaccination Mandate for Health Care Workers Last Year

    News Release

    In a new analysis, KFF researchers find that COVID-19 vaccination rates among nursing home staff increased by 25 percentage points nationally (63% to 88%) from when the Biden administration announced the vaccine mandate for health care workers in August 2021 to after vaccination deadlines passed in March 2022. Researchers analyzed nursing home-level data from the federal government covering some 14,700 nursing homes, or about 97 percent of all nursing homes in the U.S. They conclude…

  • Mitigating Childhood Lead Exposure and Disparities: Medicaid and Other Federal Initiatives

    Issue Brief

    Exposure to lead can seriously harm a child’s health, including damage to the brain and nervous system, slowed growth and development, learning and behavior problems, and hearing and speech problems. The effects of lead on the nervous system can cause lower IQ, decreased ability to pay attention, and under performance in school.

  • Community Health Centers Are Taking Actions to Prepare for the Unwinding of the Public Health Emergency

    Policy Watch

    Community health centers, a national network of safety-net primary care providers, are poised to be on the front lines of the unwinding of the Medicaid continuous enrollment requirement when the public health emergency (PHE) ends. Health centers can be effective in raising awareness about Medicaid renewal requirements and in providing the help needed for enrollees to maintain Medicaid or transition to other coverage.

  • Community Health Centers Have Experienced Increased Demand for Social Services During the Pandemic and Have Added Capacity for Mental Health

    News Release

    Community health centers have seen a rise in patients seeking non-medical services such as housing, food, nutrition, and transportation during the pandemic and have added new mental health and substance use disorder (SUD) services in response to growing need, according to a new KFF survey. Over half of the health centers that responded to the survey said that, amid the economic disruption of the pandemic, more patients are seeking social and supportive services that complement…

  • Key Characteristics of Infants and Implications of the Recent Formula Shortage

    Issue Brief

    In recent weeks, the United States has been grappling with a baby formula shortage following supply chain issues, a voluntary recall, and the closing of a plant that produces a large share of the country’s formula. Since it is recommended that infants receive breast milk or formula until they are age one, this shortage has had a significant impact across the country. Infants in low-income families and infants of color, who are often covered by…

  • Headed Back to School: A Look at the Ongoing Effects of COVID-19 on Children’s Health and Well-Being

    Issue Brief

    Emerging COVID-19 variants, like the Omicron subvariant BA.5 that has recently caused a surge in cases, may pose new risks to children and create challenges for the back-to-school season. Children may also continue to face challenges due to the ongoing health, economic, and social consequences of the pandemic. This brief examines how the COVID-19 pandemic continues to affect children’s physical and mental health, considers what the findings mean for the upcoming back-to-school season, and explores…

  • Mental Health Parity at a Crossroads

    News Release

    With federal agencies preparing to update parity regulations and Congress considering reforms, our new report explains existing parity requirements, including who they apply to and how their enforced, and highlights key policy issues raised by regulators and advocates that could be addressed in the future. Those issues include: Simplifying parity standards to make it easier for apples-to-apples comparisons between behavior health and medical benefits needed to assess compliance. Taking a closer look at how insurers are…

  • Medicaid Managed Care Plans Can Help Enrollees Maintain Coverage as the Public Health Emergency Unwinds

    Issue Brief

    Throughout the pandemic, states have worked with managed care plans to respond to changing public health conditions and new developments. After the PHE ends, state Medicaid agencies will need to complete a large number of eligibility and enrollment tasks and actions, including processing renewals, redeterminations (based on changes in circumstance), and post-enrollment verifications. Medicaid managed care plans can assist state Medicaid agencies in communicating with enrollees, conducting outreach and assistance, and ultimately, in improving coverage…