Modernizing with Purpose: A Q&A with Alabama Medicaid CIO Mason Tanaka
Alabama Medicaid CIO Mason Tanaka on why modernization starts with the business, why governance is critical to build...
Elevating and supporting Medicaid leaders so millions of people achieve their best health through sustainable programs.
Resources
Snapshot: Kansas Medicaid and Public Health Partnership
Kansas offers a model for bridging Medicaid and public health silos, moving from episodic, event-driven coordination to a...
Building on What Works in Medicaid Program Integrity
Federal and state governments have shared interest in supporting Medicaid programs with enhanced and new federal-level tools including...
Latest News
Washington State Wins National Recognition for Coordinating Care Across Systems for Youth with Complex Needs
2026 NAMD Spotlight Award Honors Health Care Authority’s Client Escalation Pathway
California Honored for Improving Health for More Than Half a Million Medi-Cal Members
2026 NAMD Spotlight Award Recognizes Community Supports Linked to Better Outcomes and Net Medicaid Savings
Focus Areas
Benefits
According to federal law, states must offer specific required health care benefits, while having the flexibility to include additional optional benefits. Examples of mandatory benefits include inpatient and outpatient hospital services, physician services, and laboratory and x-ray services, among others. Examples of optional benefits include prescription drugs and physical therapy.
Delivery Systems
Whether it’s through managed care or fee-for-service, Medicaid agencies use their policy and payment levers to achieve better quality and access.
Medicaid Member Populations
Medicaid and CHIP serves more 1 in 5 Americans—millions of people with unique healthcare needs including children and young people, pregnant people, older adults, people with disabilities, and some low-income adults.
Program Administration
Medicaid programs across the country ensure millions of people receive essential health care. Administering this complex program requires a multi-layered approach to managing the budget, IT systems, member outreach and more.