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Kansas Builds Sustained Medicaid-Public Health Coordination Model

In a NAMD snapshot, the association profiles Kansas's approach to bridging Medicaid and public health agencies through sustained, structured collaboration rather than one-off, crisis-driven coordination. The model relies on monthly cross-agency meetings, shared data governance arrangements, and joint initiatives covering newborn screening, infectious disease response, and rural maternal and infant health. State Medicaid agencies and public health departments are the primary audience, as the profile is meant to offer a replicable framework for other states seeking to formalize interagency coordination. No specific effective date or regulatory action is described; the piece functions as a case study of institutional practice.

NAMD

Federal Policy·8d ago

NAMD Submits Comments on CMS Medicaid Enterprise Systems IT Standards RFI

The National Association of Medicaid Directors submitted comments to CMS in response to a request for information on Medicaid Enterprise Systems IT standards. The RFI solicited stakeholder input on technical standards and interoperability requirements for state Medicaid IT systems. State Medicaid agencies are directly affected as these standards will shape future MES certification requirements and enhanced federal funding eligibility. The timing matters because CMS is gathering input to inform future rulemaking on MES modernization and MITA framework requirements.

NAMD

Federal Policy·10d ago

NAMD Submits Comments on Proposed Health Care-Related Tax Hold Harmless Rule

The National Association of Medicaid Directors submitted comments on September 21 responding to a CMS notice of proposed rulemaking that would amend the indirect hold harmless threshold for health care-related taxes. Health care-related taxes are a key financing mechanism states use to draw down federal Medicaid matching funds, and the hold harmless provisions limit the extent to which states can return tax revenue to providers. The proposed rule would modify the threshold that triggers federal hold harmless scrutiny, directly affecting state Medicaid financing flexibility and the permissible structure of provider tax arrangements.

NAMD

Federal Policy·19d ago

NAMD Proposes Federal Tools to Strengthen Medicaid Program Integrity Infrastructure

The National Association of Medicaid Directors has outlined federal-level program integrity enhancements for Medicaid, including modernizing the national provider identifier system, creating a national claims and provider data view, developing service-specific toolkits, and vetting IT solutions. The proposals address shared federal-state responsibilities for fraud prevention and program oversight. The recommendations aim to provide state Medicaid agencies with standardized tools and data infrastructure to improve provider screening, claims monitoring, and cross-state coordination.

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State Policy·SC·31d ago

South Carolina Medicaid Director Discusses HCBS Strategy and Legislative Relations

South Carolina Medicaid Director Eunice Medina outlined the state's approach to home and community-based services, legislative engagement, and member-centered policy in an interview with the National Association of Medicaid Directors. Medina discussed operational priorities for South Carolina's Medicaid program and strategies for maintaining stakeholder relationships. The interview provides insight into how one state Medicaid agency is structuring its leadership approach to HCBS and policy implementation. This offers state agencies and managed care organizations a window into South Carolina's current Medicaid direction under Medina's leadership.

NAMD

Federal Policy·34d ago

NAMD Publishes Overview of Medicaid and Ryan White Program Coordination for HIV Care

The National Association of Medicaid Directors has published an explainer on how Medicaid and the Ryan White HIV/AIDS Program coordinate to provide comprehensive care for low-income people with HIV. The overview describes each program's distinct eligibility and coverage criteria and how they work together to ensure access to the full continuum of HIV care. The resource is available now on NAMD's website. It provides state Medicaid agencies with foundational information on program coordination and coverage responsibilities for this population.

NAMD

State Policy·36d ago

NAMD Podcast Covers Medicaid Technology Strategy and Vendor Management

The National Association of Medicaid Directors released a podcast episode examining how state Medicaid directors approach technology system strategy and vendor management. The episode addresses operational challenges state agencies face in implementing and maximizing value from IT systems. The discussion is relevant for state Medicaid agencies responsible for technology procurement, system implementation, and vendor oversight.

NAMD

State Policy·36d ago

NAMD Podcast Examines Leadership Team Development for State Medicaid Agencies

The National Association of Medicaid Directors released a podcast episode focused on strengthening senior leadership teams within state Medicaid agencies. The episode addresses how leadership teams can build collective capacity to manage complex program challenges. The content is aimed at state Medicaid directors and senior agency staff responsible for organizational development and strategic decision-making. This reflects ongoing efforts by state agencies to enhance internal capacity amid increasing program complexity and operational demands.

NAMD

State Policy·KY·36d ago

Kentucky Medicaid Leaders Discuss Policy Implementation in NAMD Podcast

The National Association of Medicaid Directors released a podcast episode featuring Kentucky Medicaid officials discussing operational, policy, and financial management strategies. The discussion covers how state leaders translate federal and state policy directives into operational practice within Kentucky's Medicaid program. The episode is part of NAMD's Medicaid Leadership Exchange series, which provides peer-to-peer learning for state Medicaid directors and senior staff.

NAMD

State Policy·36d ago

Medicaid Directors in Three States Discuss Using Personal Experience to Guide Policy

The National Association of Medicaid Directors podcast features Medicaid leaders from Pennsylvania, Idaho, and Oregon discussing how their personal experiences inform program design and service delivery decisions. The directors describe approaches to simplifying enrollment and access, centering beneficiary perspectives in policy development, and translating lived experience into operational improvements. The conversation provides peer insights for state Medicaid agencies on incorporating beneficiary-centered design principles into program administration.

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State Policy·NH·36d ago

New Hampshire Medicaid-Public Health Partnership Model Offers Lessons for State Integration Efforts

The National Association of Medicaid Directors published a case study on New Hampshire's approach to integrating Medicaid and public health operations. The partnership focuses on intentional collaboration, aligned priorities, and sustained leadership engagement between state Medicaid and public health agencies to improve population health outcomes. The case study provides operational lessons for other states seeking to strengthen coordination between their Medicaid programs and public health departments, addressing a growing priority as states work to address social determinants of health and prevention through Medicaid financing.

NAMD

Managed Care·36d ago

NAMD Issues Comments on CMS State Directed Payment Proposed Rule

The National Association of Medicaid Directors has submitted formal comments on CMS' 2026 proposed rule governing state directed payments in Medicaid managed care and targeted fee-for-service payments. NAMD's recommendations address regulatory changes CMS proposed for how states structure supplemental payments to providers through managed care contracts and direct Medicaid payments. The comments reflect state Medicaid directors' operational concerns about implementing potential new federal requirements for these payment arrangements, which states use to address provider rates, access, and delivery system reforms.

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Federal Policy·36d ago

NAMD Submits Comments on CMS Community Engagement Interim Final Rule

The National Association of Medicaid Directors submitted formal comments on July 31, 2026, regarding CMS's interim final rule imposing community engagement requirements on certain Medicaid beneficiaries. The rule was issued with a comment period, allowing state Medicaid agencies and stakeholders to provide feedback before final implementation. NAMD's comments reflect state perspectives on operational feasibility, administrative burden, and compliance requirements associated with implementing work or community engagement mandates. The comment period signals that states will need to prepare for potential implementation depending on the final rule's provisions.

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