On October 7, the Kaiser Family Foundation released its annual 50-state Medicaid Budget Survey for 2013-2014. The report looks at spending, enrollment and policy initiatives in state Medicaid programs. This year it also focused on eligibility and enrollment changes relating to the implementation of the Affordable Care Act and payment and delivery system changes undertaken by the states. In particular, the report found that:
- Improvement in the economy resulted in growing Medicaid spending and enrollment levels in FY 2013;
- ACA implementation has had an effect on all state Medicaid agencies;
- Nearly all states are engaged in some type of payment and/or delivery system reform;
- Improvements in the economy have also resulted in program restorations or improvements in provider rates and benefits; and
- FY 2014 will be a "transformative" year for Medicaid programs.