State Medicaid programs are large and complex and their directors are faced with implementing changes required by the Affordable Care Act at the same time they continue to work with limited resources, both fiscal and human. Medicaid programs are also leading by example in major transformations of the health care system, including payment reforms, quality oversight, system accountability, and targeted care coordination.

Since 1997, states have been able to bill for Medicaid-enrolled inmates who leave prisons or jails longer than 24 hours for health treatment in a hospital or nursing facility. That provision is an important but little-known exception to the federal prohibition on spending Medicaid funds for health services to inmates of state prisons and local jails, according to Dr. Nicole Jarrett, who spoke at September’s CSG Medicaid Leadership Policy Academy.

Pennsylvania and New Hampshire are the latest states to expand Medicaid eligibility, securing federal approval of their states' waiver proposals. Those two states join Arkansas, Iowa and Michigan that also have implemented Medicaid expansion outside of the traditional Medicaid program model. Indiana has a pending waiver application. 

It is likely that some of the 22 states that so far have not expanded Medicaid may still do so. To keep up with...

WASHINGTON, D.C.—State Medicaid programs increasingly are depending on managed care arrangements, Julia Paradise, associate director of the Kaiser Commission on Medicaid and the Uninsured, told state legislators attending the CSG Medicaid Leadership Policy Academy in Washington, D.C., Sept. 15-17. “States see managed care as a strategy to extract savings,” she said.

Twenty-one state legislators from 14 states gathered in Washington, D.C. on Sept. 15-17, 2014, for a CSG-led Medicaid Leadership Policy Academy. Almost 50 percent of the attendees were chairs or vice-chairs of health committees in their home states. Nearly half were health care professionals outside their legislative duties. 

The meeting was a follow-up to the Medicaid Policy Academies CSG has held in 2012, 2013, and 2014 for legislatos who have been newly elected...

The federal government has approved a waiver from Pennsylvania that will move the state forward on expansion of Medicaid to low income residents starting Jan. 1, 2015. Pennsylvania becomes the 27th state to expand Medicaid eligibility under the Affordable Care Act. 

In a press release, Gov. Corbett says, “From the beginning, I said we needed a plan that was created in Pennsylvania for Pennsylvania − a plan that would...

Tom Massey, office director of policy, communications and operations for the Colorado Department of Health Care Policy and Financing, said the state’s decision to expand Medicaid under the Affordable Care Act came down to math.

“We figured it would create about 20,000 more jobs over the next 20 years, bring in about $4.4 billion more into our economy and the average household earnings would rise by about $600,” said Massey, who spoke Monday during the CSG/CSG West Health Committee meeting.

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WASHINGTON, D.C.--The 30 state legislators attending The Council of State Governments' third annual Medicaid Policy Academy paid close attention to speakers who discussed ways to control costs and create savings in state Medicaid programs.

On June 18-20, 30 CSG members gathered in Washington, D.C. for the third annual Medicaid Policy Academy to learn more about Medicaid and how states can improve health outcomes for enrollees and, at the same time, run a more cost efficient program. Attendees had been nominated for attendance by health committee chairs in their home states as "rising stars" who were either new to positions of leadership on Medicaid policy or were likely to soon assume these positions.

The Council of State Governments Medicaid Policy Academy in Washington, D.C., June 18-20 provided attendees with important information about the many facets of the Medicaid program. Speakers at the sessions offered information beyond the sessions in video interviews.

Medicaid Role in State Budgets

Robin Rudowitz, associate director, Kaiser Commission on Medicaid and the Uninsured, says Medicaid has a complicated role in state budgets.

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