Elevating and supporting Medicaid leaders so millions of people can achieve their best health.

Resources

All Resources

Focus Areas

All Focus Areas

Benefits

The federal policies and state-administered programs that determine what benefits Medicaid enrollees can access are essential to how the program serves its members and how health is impacted nationally.

• Benefits Resources
• Long-term Services and Supports
• Mental Health and Addiction Treatment
• Prescription Drugs

COVID-19

A seminal event in world history, the global pandemic has changed the face of health care in America and deeply impacted the Medicaid program across states.

• COVID Resources
• Unwinding
• COVID Vaccines

Delivery System and Payment Reform

Changes to Medicaid policy since its inception have moved the program toward a model based in quality of care delivered, but more work is needed. In addition, programs across the country are working hard to integrate new technologies to benefit Medicaid member care.

• Telehealth
• Value-Based Purchasing
• Social Determinants of Health
• Behavioral Health Integration

Health Equity

Medicaid has always existed to ensure that people can live healthier lives through better access to health care. Programs across the country are now redoubling their efforts to ensure equity is at the forefront of their planning and performance.

• Advancing Equity Programmatically
• Advancing Equity in the Team
• Health Equity Resources

Managed Care

Medicaid programs across the country employ managed care models to help deliver quality care efficiently and with state budget realities in mind. States adopt various strategies for procurement, contracting and oversight of these critical partners.

• Oversight
• Procurement and Contracting

Medicaid Members

The millions of people served by the Medicaid program fall into a broad and diverse spectrum of users, each with their own specific needs and challenges.

• Adult Medicaid Members and Expansion Populations
• Adults with Complex Health and Social Needs
• Child and Family Health
• Dual Eligibles

Program Administration

Medicaid programs across the country are large, complex systems that ensure millions of people get the health care they need. Billions of dollars support the Medicaid program at the federal and state level.

• Program Integrity
• Data and Systems
• Finance and Budget

Public Sector Leadership

Overseeing a large, complex Medicaid system that serves millions and operates within individual state governments takes a highly specialized skill set and strong leadership.

• Driving and Delivering Results
• Practicing Good Public Administration
• Engaging and Motivating People
• Setting and Managing Strategic Direction
• Personal Leadership and Self-Management

Quality and Access to Care

Quality of care, not quantity, is the benchmark against which all health care delivery should be assessed. Medicaid programs across the country are making strides at implementing programs that consider quality as well as access to care.

• Learn more about Quality and Access to Care

Waivers

Waivers are an essential part of the strategy many states use to ensure their programs are meeting the needs of their individual populations. Programs across the country use federally-approved waivers to meet a host of goals including coverage expansion, cost containment or improved care for specific groups such as individuals living with disabilities or pregnant women.

• Learn more about Waivers