Explore how state policymakers have developed, refined, and implemented unique elements of state Medicaid programs to improve service delivery.
Like many states, Maine has two incarceration systems – a state prison system and 15 county-run jails, which historically took different approaches to treating opioid use disorder. While the state prison has provided medication for opioid use disorder (MOUD) since 2019, counties took diverse approaches until an initiative led by Penobscot County Sheriff Troy Morton, president of the Maine Sheriff’s Association, worked with the state Department of Corrections to develop a […]
COVID-19 vaccine distribution has accelerated across states as the Biden Administration updates its vaccine goal to 200 million doses by April 23, 2021 and many states are opening eligibility to all adults by early April. The National Academy for State Health Policy (NASHP) recently spoke with several state Medicaid officials to learn more about how […]
Family caregivers help Medicaid enrollees safely stay in their own homes, prevent or delay hospital and nursing facility stays, and provide personal care services that Medicaid agencies would otherwise need to pay for. However, there are strong indications that family caregivers need additional supports, which would benefit the Medicaid enrollees in their care. Recognizing family […]
A new, 50-state analysis of Medicaid managed care programs by the National Academy for State Health Policy (NASHP) shows that in the past three years, state Medicaid managed care (MMC) programs have: Enrolled more children and youth with special health care needs (CYSHCN); Provided more services to them through managed care; and Launched more specialized […]
Introduction by Trish Riley, NASHP Executive Director For decades, the proposal to convert the Medicaid program from an open-ended entitlement to capped funding as a “block grant” has been a fiercely argued policy, legal and ideological debate. Opponents contend that capped financing violates the foundation of Medicaid as an entitlement and would severely impair states’ abilities to address […]
In the face of rapidly rising prices, state Medicaid programs are asserting their prescription drug purchasing power through more active oversight of the administration of prescription drug benefits. As major drug purchasers, state Medicaid programs have leverage to lower costs without action from state legislatures. Ohio, Washington, and West Virginia have recently deployed a range […]