Most states do not foresee major mid-year cuts in Medicaid for fiscal year 2012, according to a Kaiser Health survey.
While states authorized spending growth at a modest overall average of 2.2%, many states increased provider taxes and expanded managed care programs, according to the report.
As states prepare for expanded Medicaid coverage that will hit in 2014, some are moving forward with creating insurance exchanges. States are continuing to re-orient the delivery of long-term care to shift care away from traditional long-term care facilities, like nursing homes, and opt for community-based care, the Kaiser survey found. Thirty-three states in 2012 “took actions that expanded LTC services (primarily expanding home and community-based service (HCBS) programs). Conversely, a total of 14 states in FY 2011 and 11 states in FY 2012 took action to restrict LTC services,” the report states.
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