Medicaid Monitor
Policy Intelligence
Medicaid Monitor
Policy Intelligence
Updated Fri 12:06 PM MT
© 2026 Lanphier Ventures, LLC
Informational use only. Not legal or compliance advice.
Source
← All Sources

ACAP (Association for Community Affiliated Plans)

12 stories

Managed Care·11d ago

ACAP Launches Innovation Fund for Medicaid Health Plans

The Association for Community Affiliated Plans (ACAP) announced September 22, 2026, the launch of the ACAP Innovation Fund in partnership with Innovation Fund Management. The initiative is designed to drive innovation in Medicaid managed care, though specific investment focus areas, funding amounts, and eligibility criteria were not detailed in the announcement. The fund targets ACAP member plans, which are safety-net health plans serving Medicaid and other vulnerable populations. Details on application timelines and fund deployment are expected to follow.

Managed Care·12d ago

Safety Net Health Plans Achieve Record Performance in NCQA Quality Ratings

Safety Net Health Plans, members of the Association for Community Affiliated Plans (ACAP), achieved record performance in the National Committee for Quality Assurance's (NCQA) 2026 health plan ratings. The announcement, released September 21, 2026, indicates improved quality measures among plans serving predominantly Medicaid and dual-eligible populations. These ratings affect star ratings, quality bonus payments, and auto-enrollment assignments for Medicaid managed care plans. The results suggest safety net plans—which disproportionately serve low-income and complex populations—are closing quality gaps with commercial-focused plans.

Managed Care·17d ago

New Guide Details Health Plan-Community Development Partnership Models

The Build Healthy Places Network and Association for Community Affiliated Plans released a guide for health plans and community development organizations on structuring partnerships and investments addressing social determinants of health, particularly housing. The guide provides frameworks for identifying partners, building trust, and aligning investments with community priorities. It arrives as federal housing policy creates new opportunities for cross-sector collaboration. The resource targets Medicaid health plans seeking to operationalize social determinants investments beyond traditional medical services.

Managed Care·57d ago

ACAP CEO Defends Medicaid Program Following Senate Budget Committee Hearing

Margaret A. Murray, CEO of the Association for Community Affiliated Plans, issued a statement on August 4, 2026, following a Senate Budget Committee hearing titled "Medicaid: The Reality." Murray defended Medicaid as a pillar of the U.S. health care system. The statement responds to congressional scrutiny of the Medicaid program. The timing suggests potential legislative attention to Medicaid financing or structure, with implications for managed care organizations and safety-net plans represented by ACAP.

Federal Policy·67d ago

ACAP and CHCS Launch Technical Assistance Series on Medicaid Work Requirements

The Association for Community Affiliated Plans and the Center for Health Care Strategies announced a learning and action series to help safety net health plans implement newly established Medicaid work requirements. The initiative will provide technical assistance to plans as they develop operational processes for verifying beneficiary compliance, managing exemptions, and coordinating with state agencies. The timing suggests recent federal policy changes have authorized or expanded work requirement programs in multiple states. Safety net plans serving Medicaid populations will need new systems for tracking work activities, processing beneficiary documentation, and managing potential coverage terminations for noncompliance.

Federal Policy·74d ago

Four House Republicans Join Democratic ACA Discharge Petition

Four Republican members of the U.S. House of Representatives joined a Democratic discharge petition related to the Affordable Care Act on December 17, 2025. The Association for Community Affiliated Plans issued a statement from CEO Margaret A. Murray responding to this development. A discharge petition can force a floor vote on legislation if it receives 218 signatures. The bipartisan support suggests potential movement on ACA-related legislation that could affect Medicaid expansion states and marketplace programs.

Federal Policy·79d ago

CMS Releases 2027 Notice of Benefit and Payment Parameters

The Centers for Medicare & Medicaid Services has released the 2027 Notice of Benefit and Payment Parameters (NBPP). The NBPP sets annual requirements for qualified health plans offered through the ACA marketplaces, including actuarial value standards, cost-sharing limits, and payment methodologies. While the NBPP primarily governs marketplace plans, provisions may affect Medicaid managed care organizations that operate dual marketplace and Medicaid lines of business, particularly regarding quality measurement alignment, rating approaches, and administrative standards. The final rule typically takes effect for the plan year beginning January 1, 2027.

Industry·82d ago

House Passes Bipartisan Tax Credit Extension Bill

The U.S. House of Representatives approved a bipartisan bill extending tax credits on January 8, 2026. The Association for Community Affiliated Plans (ACAP) CEO Margaret A. Murray issued a statement following the vote. The bill now moves to the Senate for consideration. Specific details on which tax credits are extended and the duration of the extension were not provided in the available excerpt.

Managed Care·82d ago

ACAP Report Details MCO Rate Adequacy Amid Federal Funding Pressures

The Association for Community Affiliated Plans released a report examining actuarially sound rate-setting for Medicaid managed care organizations as states anticipate federal funding reductions. The report addresses how rate adequacy affects MCO financial stability, network adequacy, and access to care during periods of fiscal constraint. It provides guidance for states and plans navigating rate-setting requirements under potential budget pressures. The analysis comes as states prepare budgets amid uncertainty about federal Medicaid funding levels.

Federal Policy·87d ago

Health Care Coalition Seeks HHS Clarification on SUD Community Engagement Exemptions

ACAP and a coalition of health care organizations submitted a letter to HHS on February 7, 2026, requesting clarification on how Medicaid managed care plans should verify and document substance use disorder (SUD) treatment exemptions from community engagement requirements. The letter addresses operational challenges MCOs face in implementing exemption processes without clear federal guidance on documentation standards, member privacy protections, and coordination with SUD providers. The coalition seeks guidance on verification procedures to ensure eligible beneficiaries receive exemptions while maintaining compliance with federal requirements.

Managed Care·87d ago

ACAP Report Documents Safety Net Health Plan Chronic Disease Programs

The Association for Community Affiliated Plans released a report on January 15, 2026 documenting chronic disease management initiatives deployed by safety net health plans. The report highlights member-focused programs addressing conditions prevalent in Medicaid and dual eligible populations. Safety net health plans serving Medicaid beneficiaries can review documented approaches and potentially adapt models for their own populations. The report provides examples of operational interventions currently in use across ACAP member organizations.

Managed Care·87d ago

ACAP Proposes Five Dual SNP Demonstration Programs to Improve Care Coordination

The Association for Community Affiliated Plans released a report proposing five demonstration programs to leverage Dual Eligible Special Needs Plans (D-SNPs) for improved care coordination. The proposals target Medicare beneficiaries enrolled in D-SNPs, which serve individuals eligible for both Medicare and Medicaid. The report comes as CMS and states continue to pursue integrated care models for dually eligible populations. The proposals matter for Medicaid managed care organizations operating D-SNPs or seeking to expand dual-eligible programs, as they outline potential policy pathways for enhanced integration and coordination between Medicare and Medicaid benefits.

Get the daily briefing.