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 Comments on CMS RFI on Medicare and Multi-payer Incentive Program

NAMD submitted comments to the Centers for Medicare and Medicaid Services (CMS) on the development of the Medicare and multi-payer provider incentive program created under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The letter, which responds to CMS’ request for information, offers insight on the inclusion of Medicaid alternative payment models in the program […]

NAMD Gives Testimony on 1115 Waivers

Today, Matt Salo, executive director of the National Association of Medicaid Directors, gave testimony before the Energy and Commerce Committee, Subcommittee on Health on “Examining the Administration’s Approval of Medicaid Demonstration Projects.” Read the full testimony here.

NAMD Memo on Extending Funding for CHIP

The National Association of Medicaid Directors released a public memo which seeks to inform ongoing congressional discussions to extend funding for the Children’s Health Insurance Program (CHIP). Read the full memo here.

NAMD Letter Asks HHS Secretary to Align Linkages between Medicaid and FQHC Programs

NAMD submitted a letter requesting that Health and Human Secretary Kathleen Sebelius use her authority to resolve a number of challenges states identified that cut across the Medicaid and Federally Qualify Health Center (FQHC) and Rural Health Center (RHC) programs. The accompanying issue brief includes nearly twenty specific action steps that states believe would help […]

NAMD Prepares Memo on ABLE Legislation

The National Association of Medicaid Directors released a public memo which includes recommendations to strengthen the “Achieving a Better Life Experience Act of 2013,” or ABLE Act. Read the full memo here.