CHA News Article

Report Examines Medicaid Moving Ahead in Uncertain Times
Includes results from a 50-state Medicaid budget survey

A new report from the Kaiser Family Foundation examines recent changes in Medicaid programs across 50 states and the District of Columbia, and highlights policies in place in fiscal year (FY) 2017 as well as those implemented or planned for FY 2018. Findings show that many states continue efforts to expand managed care, move ahead with payment and delivery system reforms, increase provider payment rates and expand benefits and community-based long-term services and supports, despite uncertainty about the program’s future at the federal level. Current trends include Medicaid expansion, continued reliance on provider taxes and managed care organization inclusion of complex populations and behavioral health services. The report also outlines anticipated trends for 2018, such as state waivers to impose premiums and restrict eligibility, growing adoption of Centers for Disease Control & Prevention prescribing guidelines for opioids, and a focus on housing and direct care workforce shortages.