Idaho Plans Full Transition to Medicaid Managed Care by 2029
Idaho plans to shift all Medicaid services to private managed care by 2029, with health officials cautioning the transition must be gradual to avoid disruption.
Idaho plans to shift all Medicaid services to private managed care by 2029, with health officials cautioning the transition must be gradual to avoid disruption.
New York’s OPWDD has awarded contracts to eight providers to deliver assistive technologies and supports that promote independence for people with intellectual and developmental disabilities.
CMS announced it will stop approving Medicaid matching funds for state programs not directly linked to healthcare, aiming to preserve the integrity of the Medicaid partnership.
Florida’s SMMC 3.0 program places a strong emphasis on value-based purchasing, rewarding providers for quality and cost-effective care. This shift is central to improving outcomes and ensuring Medicaid recipients receive better, more coordinated services.
Category: Healthcare Payers
The Shapiro Administration cut Pennsylvania’s IDD emergency waiting list by 19% and enrolled 3,000+ individuals in services, supported by major budget investments in the 2024-25 fiscal year.
Florida’s Statewide Medicaid Managed Care (SMMC) 3.0 program, launched on February 1, 2025, introduces significant enhancements aimed at improving care coordination, integrating behavioral analysis services, and piloting managed care for individuals with intellectual and developmental disabilities.
Illinois has awarded $12 billion in contracts to four health plans as it transitions to a fully integrated D-SNP model for dual-eligible beneficiaries beginning in 2026.
While MLTSS expands access to home-based care, its success depends on addressing key challenges like workforce shortages, eligibility barriers, care coordination gaps, and transitions from institutional care. Here’s what needs to be done to improve these programs.
Florida’s Medicaid program has introduced a pilot initiative transitioning waiver services for individuals with intellectual and developmental disabilities to managed care in two regions.
Congressional budget cuts could put Medicaid coverage at risk for millions, with experts cautioning that states may struggle to compensate for reduced federal funding.