Home Medicaid Topics

Medicaid

new and noteworthy

Medicaid Work RequiremEnts

Tracking the 2025 Reconciliation Law’s 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.

Latest News

More KFF Health News

Stay informed.

Get KFF's latest on Medicaid

https://js.hsforms.net/forms/embed/292449.js

Stay informed.

Get KFF's latest on Medicaid

https://js.hsforms.net/forms/embed/292449.js

View the Latest: Medicaid

Filter

List Grid

851 - 860 of 2,718 Results

  • Medicaid’s Role in Long-Term Care

    Other Post

    Medicaid and Long-Term Care While Medicaid is the nation’s major source of financing for long-term care services, paying for over 40% of total long-term care, its role is not well understood. Misperceptions on who qualifies and what is covered are common. A fact sheet and a Q & A sheet about Medicaid’s role in long-term care assistance provide basic information on the topic. Medicaid’s Role in Long-Term Care: Q & A Medicaid and Long-Term Care…

  • Medicaid Enrollment and Spending by “Mandatory” and “Optional” Eligibility and Benefit Categories

    Report

    Medicaid Enrollment and Spending by "Mandatory" and "Optional" Eligibility and Benefit Categories This report presents new estimates of the proportion of Medicaid beneficiaries and spending that is mandatory and optional to promote an increased understanding of how Medicaid restructuring proposals might affect the various groups and services covered by the program. Report (.pdf)

  • Medicaid 1915(c) Home and Community-Based Service Programs: Data Update

    Issue Brief

    Over the last four years, the Commission has been tracking the national development of the three main Medicaid HCBS programs that states can operate. The Commission also began to survey the policies, such as eligibility criteria and waiting lists that states can use to control the growth of spending on the waiver programs. This brief presents the latest data on the development of home and community-based service programs in Medicaid. Issue Paper (.pdf)

  • Premium Assistance Programs:  How Are They Financed and Do States Save Money?

    Issue Brief

    Premium Assistance Programs: How Are They Financed and Do States Save Money? This brief examines premium assistance programs implemented under section 1115 waivers in five states (Illinois, New Jersey, Oregon, Rhode Island, Utah) to determine how they are financed; their eligibility, benefit, and cost sharing requirements; their methods for determining cost-effectiveness; and cost savings. Issue Brief (.pdf) Executive Summary (.pdf)

  • Financing Health Coverage:  The Fiscal Relief Experience

    Issue Brief

    Financing Health Coverage: The Fiscal Relief Experience This paper provides an overview of the context which prompted federal fiscal relief to the states in 2003 and discusses the implications of this experiment in federal intervention for financing the Medicaid program. Policy Brief (.pdf)

  • New Reports Explain Medicaid’s Role in Long-Term Care and Track Trends

    Issue Brief

    With short and long-term policy changes to the Medicaid program being discussed, its role in providing long-term care is receiving closer examination. Medicaid is the single largest source of financing for long-term care, accounting for nearly half of all the nation’s spending for long-term care services, and demographic trends are likely to place additional pressure on Medicaid. New attention is being focused on who relies on Medicaid for help with nursing home bills and how…

  • Learning From History: Deinstitutionalization of People with Mental Illness As Precursor to Long-Term Care Reform

    Report

    This report examines what policy lessons can be learned from the deinstitutionalization of people with mental illnesses and applied to potential long-term care reform for the elderly or those with significant disabilities. The study assesses the reforms that took place under deinstitutionalization, their impact and what mistakes were made. It also discusses the take-away lessons for long-term care policy, with a focus on planning, financing, living situations and the role of families, workplace issues, and…

  • New Survey Indicates Medicaid Enrollment Declines For First Time In Nearly A Decade

    Event Date:
    Event

    The annual 50-state survey of state officials on Medicaid and state budget actions reports enrollment in Medicaid declined for the first time in nearly a decade. The 0.5 percent enrollment decline in fiscal year 2007 was driven primarily by two factors. States reported that the new citizenship documentation requirements were causing significant delays in processing applications, affecting mostly individuals already eligible for the program. State officials also cited the good economy and lower unemployment for…

  • Medicaid and Budget Reconciliation:  Implications of the Conference Report

    Issue Brief

    Medicaid and Budget Reconciliation: Implications of the Conference Report This issue brief provides an overview of the federal budget context and then highlights key Medicaid savings proposals in the budget reconciliation conference bill and discusses the implications of the proposed changes. Issue Brief (.pdf)