Kentucky’s Rush Into Medicaid Managed Care: A Cautionary Tale For Other States

Kaden Stone loves playing baseball, riding his bike and watching Duck Dynasty on TV at his red-brick ranch-style house in rural south central Kentucky. Despite his energy, the tiny boy of eight with a crewcut and missing front tooth can’t eat much, the result of congenital bowel problems that have required dozens of surgeries and […]

Continuity of Care Requirements in the Managed Medical Assistance Program

The Statewide Medicaid Managed Care (SMMC) program consists of two components: the Managed Medical Assistance (MMA) program and the Long-term Care (LTC) program. The MMA program provides medical services to infants, children and adults on Medicaid, while the LTC program provides home and community-based long-term care services to elders and adults with disabilities on Medicaid […]

Too sick to care: Direct-care workers, Medicaid expansion, and the coverage gap

Uses original research to show that nearly 500,000 direct-care workers are shut out of Medicaid eligibility because their states have refused to expand the program under the terms of the Affordable Care Act. These workers, who live in the 21 “non-expansion” states, fall into the “coverage gap,” the report says; they earn too much money to qualify […]