Medicaid

new and noteworthy

An Early Look at States’ Differing Approaches to Implementing Medicaid Work Requirements Amid Cost and Time Constraints and Uncertainty

A new KFF survey of state Medicaid officials and focus groups in eight states captures the different choices states are making about how to implement Medicaid work requirements, with seven states planning for a more restrictive approach to verifying work or exemption status or to implement work requirements early. These implementation plans are taking shape as states encounter time, cost, and other constraints as well as uncertainty about how to define and verify certain exemptions due to delayed federal guidance.

Medicaid 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. The information tracked here can serve as a resource to understand Medicaid work requirements and state options, gauge readiness, and track implementation of the requirements.

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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  • Transitional Medical Assistance (TMA): Medicaid Issue Update

    Fact Sheet

    This fact sheet presents the key questions and answers regarding transitional medical assistance as a part of the Medicaid program and its relationship to Temporary Assistance to Needy Families (TANF), the welfare program. Fact Sheet

  • SCHIP Program Enrollment: June 2002 Update

    Report

    This report presents information on the number of children enrolled in SCHIP for each state, for specific months from 1998 to June 2002. As of June 2002, the SCHIP program covered 3.6 million low-income children. An increase of 571,000 from the previous June. REPORT Download

  • Health Insurance Coverage of Low-Wage Workers

    Fact Sheet

    This fact sheet summarizes the reasons why low-wage workers are less likely to have employer-sponsored health insurance than workers with higher incomes and therefore, are more likely to be uninsured. Fact Sheet

  • Medicaid and Welfare Reform: States’ Use of the $500 Million Federal Fund

    Report

    This report reviews how states have responded to the $500 million federal fund that was created by the federal welfare reform legislation in 1996 to help states maintain Medicaid coverage for individuals affected by welfare reform. State Medicaid officials were asked whether they have drawn down federal funds from the $500 million fund; to describe the factors that influenced their decision; and what activities they are supporting with the additional federal monies. The paper describes…

  • Putting Express Lane Eligibility into Practice

    Report

    A new report details how the practice of express lane eligibility, or utilizing information from other public benefit programs, can quicken the enrollment of low-income children into the Medicaid and CHIP programs. REPORT Download

  • Marketing Medicaid and CHIP: A Study of State Advertising Campaigns

    Report

    A Survey and Analysis of What States Are Doing Based on interviews of state officials and analysis of tv, radio, and print ads from the states, this report is the first nationwide analysis of states' advertising campaigns to enroll eligible kids into health coverage programs. Included is information about how states developed their campaigns and the common messages states are trying to convey about their coverage programs. Report (.pdf)

  • Managed Care for Low-Income Populations with Special Needs: The Oregon Experience

    Report

    This report focuses on Oregon's experience in moving their disabled Medicaid beneficiaries into managed care. It is one of a series of reports from The Kaiser/Commonwealth Low-Income Coverage and Access Project. This project examines how changes in the Medicaid program have affected health insurance coverage and access to care for hte low-income population in eight states: California, Florida, Maryland, Minnesota, New York, Oregon, Tennessee and Texas. Report

  • Restructuring Medicaid Financing: Implications of the NGA Proposal

    Report

    An analysis of the National Governors Association proposal to restructure Medicaid, including the financial impact of the core of the proposal. The report considers possible responses to the reforms and outlines some issues to consider as policymakers think about reforming the program.

  • Building on Medicaid: What Works and What More Can Be Done?

    Other Post

    The Kaiser Commission on Medicaid and the Uninsured highlighted two new reports at the policy briefing, , and released several related publications at the event. Reaching Uninsured Children Through Medicaid: If You Build It Right, They Will Come (.pdf) Enrolling Children and Families in Health Coverage: The Promise of Doing More (.pdf) Medicaid Program Enrollment: Data Update September 2001 (.pdf) SCHIP Program Enrollment: December 2001 Update (.pdf) Acceleration of Medicaid Spending Reflects Mounting Pressures (.pdf) Medicaid Update: What Changes Are…