Medicaid is one of the nation’s most vital health care safety net programs, providing health coverage for more than 72 million Americans. Medicaid – often called different names in different states – serves as the largest payer of births, mental health services and long-term care in America. The program is jointly funded by federal and state governments, but administered by states under broad federal standards.

Each of the 56 Medicaid programs in states, U.S. territories and the District of Columbia operates differently, resulting in considerable complexity in many areas, including financing arrangements. At the same time, over the years, state Medicaid programs have grown and evolved to encompass a disproportionate percentage of state budgets. As states face ongoing budget challenges and changes brought on by health care reform, Medicaid directors have increasingly focused on increasing the value of health care services for members by reducing costs and improving access to care.

Medicaid directors work tirelessly to provide the best possible health care to vulnerable Americans while being responsible stewards of taxpayer dollars. State Medicaid directors are driving significant reforms to not only the Medicaid program, but the underlying health care system.

NAMD supports Medicaid financing measures that allow state Medicaid directors to flexibly drive innovations, maintain successful improvements and diffuse effective new approaches throughout the system.

NAMD Submits Comments on New Direction for CMMI

On November 20, NAMD submitted comments to a CMS Request for Information regarding future directions for the Center for Medicare and Medicaid Innovation (CMMI). NAMD calls for a stronger partnership between states and CMMI to promote further demonstration and alternative payment model alignment, and provides several specific issue areas where this partnership can be applied […]

NAMD Calls for CHIP Reauthorization Before End of FY 2017

On September 13, NAMD sent a letter to the Chairmen and Ranking Members of the Senate Finance Committee and the House Energy and Commerce Committee to request immediate prioritization of a Children’s Health Insurance Program (CHIP) reauthorization. NAMD requested a reauthorization of at least, but not limited to, two years, along with maintenance of the […]

NAMD Sends Letter to Hill on CHIP and D-SNP Reauthorization

This letter articulates Medicaid Directors’ requests for federal policymakers to provide states with certainty of the ongoing federal commitment around two key programs: first, the Children’s Health Insurance Program (CHIP), and second, the Medicare Advantage Duals – Special Needs Plans (D-SNPs) program. These actions can provide states with the budgetary and operational certainty they need […]

Key Statutory Flexibilities for Consideration in Medicaid Reform

NAMD released a statement requesting federal policymakers’ consideration of key statutory flexibilities for the Medicaid program as part of overall health care reform efforts. The statement articulates Medicaid’s successes in recent years, but also situates Medicaid as one payer among many within the wider health care system. It notes that current reform conversations envision a […]

Technical Considerations in ACA Repeal & Replace and Medicaid Structural Reform Proposals

Two new NAMD documents outline key Medicaid issues and operational considerations for policymakers should they move forward in evaluating proposals to repeal and replace the Affordable Care Act (ACA) and/or make structural changes to Medicaid. NAMD has not taken positions on proposals related to the ACA or structural changes to the Medicaid program. Rather, these […]