The proposed regulations are intended to reduce administrative burdens and give state Medicaid agencies greater flexibility to address local circumstances and populations.

Proposed expansion of the types of public benefits that trigger a determination that an immigrant is likely to be a "public charge" may affect access to "green cards" and utilization of Medicaid.

Document now includes housing and CCRC options.

Despite new authority to offer expanded "health-related" benefits, only a small fraction of Medicare Advantage plans are offering new supplemental benefits, such as adult day health care and personal care, in 2019.

Providers should download and review their January 2019 Medicaid preliminary draft rates.