Our Medicaid consultants help you develop innovative strategies—and deliver better care.

HMA Medicaid consultants offer in-depth knowledge and experience to help states, plans, providers, and other stakeholders deliver the broad range of services demanded of Medicaid and Children’s Health Insurance Program (CHIP). Working with HMA, you can strengthen person-centered approaches to healthcare that connect with social services to promote equitable, high-quality care. And with our comprehensive grasp of state and federal policy landscapes, we can help you navigate policy and regulatory changes, and seize the opportunities they present.   

From policy changes to IT services, our Medicaid consultants can guide you through it all.

Our large and growing team of Medicaid consultants includes former state Medicaid and CHIP directors and senior agency leaders, hospital and health plan executives, and senior officials from the Centers for Medicare & Medicaid Services (CMS) and public health systems. Their real-world experience and knowledge of the newest Medicaid innovations are an invaluable resource for our clients.

The expertise of HMA’s Medicaid team covers the full spectrum of services relevant to Medicaid and CHIP stakeholders, such as:

  • Transformation of delivery systems and implementation of integrated models of care: Optimizing processes to enhance value and address health equity
  • Establishment of Medicaid rates: Setting managed care organization rates and performing Medicaid risk adjustment for states
  • Enhancement of eligibility, enrollment, and customer service systems: Improving IT systems and business functions across Medicaid, CHIP, and healthcare marketplaces
  • Analysis of quality performance indicators: Assessing performance and developing quality improvements for plans, providers, and state programs
  • Strategic planning and implementation of reform initiatives:  Leading the creation and execution of initiatives, including Section 1115 demonstration programs
  • Evaluation of state and federal legislation: Assessing the efficacy of health policy and implementing policy changes
  • Creation of community integration initiatives: Analyzing, designing, and implementing initiatives to ensure equity in healthcare access
  • Assistance with state plan amendments and proposals: Writing the necessary documents for federal funding

Medicaid insights

Child and family wellbeing

Child welfare services face challenges every day to prevent, treat, and reduce risk of maltreatment, neglect, trauma, housing instability, and …

Child and family wellbeing: family resilience

This is part of an ongoing series highlighting efforts in human services and family wellbeing.  For decades, practitioners have recognized …

Webinar replay: youth mental health access: school-based intervention strategies

This webinar was held on June 14, 2023. The youth behavioral health crisis has resulted in a cascade of federal …

Resources for Medicaid 1115 Waivers: creating new programs for justice-involved individuals

HMA created a comprehensive series of webinars discussing the potential for using 1115 demonstrations to expand and improve healthcare services …

CMS AHEAD model offers a flexible framework for state-led total cost of care initiatives

This week, our In Focus section reviews the new States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model, which the Centers for Medicare …

Webinar replay: opportunities for state payers to improve & align incentives for treatment of substance use disorder

This webinar was held on June 6, 2023.  Health Management Associates (HMA) is proud to offer a 3-part series of …

HMA publishes white paper, “Implementing the National Diabetes Prevention Program Lifestyle Change Program in Correctional Settings”

Correctional facilities can decrease the number of individuals with prediabetes who progress to type 2 diabetes by offering the National …

Crisis and Managed Care 

Managed Care Organizations (MCOs) are key partners in ensuring members have access to integrated physical and behavioral health care, which …

Supporting state and local public health collaborative efforts with communities to improve birth outcomes and end racial disparities

HMA has valued recent opportunities to support public health departments to collaborate with communities working to identify and address root …

Value-Based Payment (VBP) – Is your organization ready?

Utilization of value-based payment (VBP) strategies continues to expand, with states and health plans recognizing the benefits of rewarding outcomes …

Caprice Knapp talks current challenges to state Medicaid programs

HMA Principal Caprice Knapp discusses current challenges to state Medicaid programs. March 2023.

Caprice Knapp talks how HMA can help states and Medicaid agencies with their quality strategy

HMA Principal Caprice Knapp shares how HMA can help states and Medicaid agencies with their quality strategy. March 2023.

Ready to talk to a Medicaid/CHIP expert about your project?

Schedule a Consultation