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From Crunch to Crisis: State Budgets, Medicaid and the Economy

Medicaid programs are feeling the strain as enrollment grows while state revenues come in lower than projected. How are Medicaid directors coping? How is the recession affecting low-income individuals and families? This briefing, cosponsored by the Alliance for Health Reform and the Kaiser Commission on Medicaid and the Uninsured, addressed…

Alternatives for Financing Medicaid Expansions in Health Reform

Expanding Medicaid to cover low-income populations has been a fundamental component of leading health reform proposals. The House Leadership Bill would expand Medicaid to 150 percent of the federal poverty level and the Senate Leadership Bill would expand Medicaid to 133 percent of the federal poverty level. In both scenarios…

A Foundation for Health Reform: Findings of An Annual 50-State Survey of Eligibility Rules, Enrollment and Renewal Procedures and Cost-Sharing Practices in Medicaid and CHIP for Children and Parents During 2009

In 2009, despite the bleakest economic picture in years, states managed to safeguard and in some cases expand health coverage for children and parents in their Medicaid and Children’s Health Insurance Programs, according to the Kaiser Family Foundation’s annual 50-state survey of Medicaid and CHIP eligibility rules, enrollment and renewal…

Medicaid and State Budgets: From Crunch to Cliff

This fact sheet discusses the status of Medicaid and state budgets in light of the continuing recession and the federal fiscal relief provided to state Medicaid programs through the American Recovery and Reinvestment Act (ARRA). The ARRA money has proved to be critical in helping states address budget shortfalls, preserve…

The Crunch Continues: Medicaid Spending, Coverage and Policy in the Midst of a Recession

This annual 50-state survey finds that number of people on Medicaid and state spending on the program are climbing sharply as a result of the recession, straining state budgets and pressuring officials to curb costs despite increased financial help from the federal government through the American Recovery and Reinvestment Act…

Efforts in States to Promote Medicaid Community-Based Services and Supports

This brief summarizes lessons in offering more home and community-based services from states at the forefront of the effort. It describes current options for state Medicaid programs and draws on interviews with state officials to provide details about specific policies and procedures in states. Brief (.pdf)

Advancing Access to Medicaid Home and Community-Based Services: Key Issues Based on a Working Group Discussion with Medicaid Experts

This brief highlights key strategies to address financing, program administration and community workforce challenges that key experts, federal and state officials and advocates believe must be overcome to expand access to home and community-based services (HCBS). Among the key ideas drawn from a working group discussion at the Foundation are…

Federal Support for Health Information Technology in Medicaid: Key Provisions in the American Recovery and Reinvestment Act

The American Recovery and Reinvestment Act of 2009 (ARRA) includes an unprecedented nearly $47 billion federal investment in health information technology initiatives. This e-health snapshot provides an overview of the health information technology provisions in the law that have direct implications for Medicaid. Health Information Technology (HIT) offers the promise…