State Profiles of Medicaid Managed Care and Type 2 diabetes. Subtitle How do state Medicaid managed care programs support adults with type 2 diabetes? Display Date June 1, 2026 Add Urban on Google Type 2 diabetes is among the most prevalent and costly chronic conditions covered by Medicaid, affecting a significant share of the low-income adults who rely on the program for coverage and care. Most states deliver Medicaid benefits through comprehensive, risk-based managed care, contracting with managed care organizations (MCOs) to coordinate and provide services for enrolled beneficiaries. State Medicaid agencies set program requirements and payment requirements, while MCOs administer covered benefits within those parameters. Many MCOs are owned by larger parent companies - including both for-profit and nonprofit entities - that operate across multiple states. Urban Institute developed a series of state profiles to provide a structured, comparable overview of how comprehensive Medicaid managed care programs address type 2 diabetes. The profiles focus on programs using this model to serve adults without disabilities; Urban Institute do not include programs serving only children or individuals with disabilities. Each profile covers five areas: the structure and history of the state's managed care program; enrollment size and indicators of diabetes burden among Medicaid beneficiaries; covered benefits and diabetes-specific services; quality measures and MCO performance incentives; and state-level diabetes initiatives outside of Medicaid managed care. In addition to synthesizing publicly available information, the profiles include original analyses of diabetes prevalence and medication use among Medicaid managed care enrollees with type 2 diabetes - data not previously available in a standardized, cross-state format. Collaboration. This project is a collaboration among Georgetown University, the Urban Institute, and the University of Central Florida. Georgetown University and the Urban Institute jointly developed the state profiles, which are published by the Urban Institute. About the data. Data in these profiles are drawn from multiple sources and vary in coverage year by data point. The year of the data source is shown in parentheses for each category. Primary sources include the Centers for Medicare and Medicaid Services Managed Care State Profiles and State Program Features (2021), the Centers for Medicare and Medicaid Services Medicaid Managed Care Enrollment and Program Characteristics report (2022), the Center for Health Care Strategies "Continuous Glucose Monitor Access for Medicaid Beneficiaries Living with Diabetes: State-By-State Coverage" (2023), KFF State Health Facts and the KFF Medicaid Waiver Tracker (2021-26), Garfield and colleagues' "States' Use of Medicaid Managed Care 'In Lieu of Services' Authority to Address Poor Nutrition" (2025), the Orbis Database (2021), and the Centers for Medicare and Medicaid Services Managed Care Program Annual Reports (MCPARs; 2023). Original analyses of T-MSIS data conducted by Maria Alva and colleagues as part of this project provide estimates of diabetes diagnosis prevalence and diabetes medication utilization. View its full list of sources (PDF). Program start dates are the authors' best estimate based on the available data. Benefits data reflect whether a service is available to adults without disabilities in any form; scope and generosity of coverage vary across states. Some benefits may be delivered through fee-for-service or a separate managed care arrangement rather than through the primary managed care organization (MCO). For the National Diabetes Prevention Program, Urban Institute code states as not covered if they only offer the program as a pilot, as a voluntary plan offering, or at plan discretion. For continuous glucose monitoring, coverage reflects availability specifically to enrollees with type 2 diabetes. Diabetes diagnosis prevalence reflects diagnosed prevalence among adults ages 21-64 with at least 24 consecutive months of Medicaid enrollment, and should not be interpreted as population-level disease burden. Data meeting quality thresholds were available for 11 of 38 profiled states; values for remaining states are shown as "unavailable." Data cover 2016-21; 2021 is the most recent year of the analysis. Diabetes medication utilization reflects receipt of at least one outpatient prescription fill per drug class per year among adults ages 18 and older with type 2 diabetes and at least 24 consecutive months of Medicaid enrollment. Data cover 2016-23; 2023 is the most recent year of the analysis. Quality measures data reflect measures included in state MCO reporting requirements as documented in 2023 MCPARs. Urban Institute selected measures for their direct relevance to type 2 diabetes care. Some states require MCO reporting through contracts or external quality review processes not captured in MCPARs, which may result in undercounting for some states. Corporate ownership and profit status data are available for 13 of 38 profiled states; data for remaining states are shown as "unavailable." Postpregnancy diabetes screening data are from a 2021 KFF survey; nonresponding states are coded as not covering this benefit. State and community initiatives were identified through researcher web searches conducted in May 2026 and reflect programs identifiable at the time of data collection; this is not a comprehensive inventory. Project credits. This tool was developed as part of a research project funded by the National Institutes of Health (grant 5R01MD017071). Urban Institute is grateful to the National Institutes of Health and to all its funders, who make it possible for Urban to advance its mission. The views expressed are those of the authors and should not be attributed to the Urban Institute, its trustees, or its funders. Funders do not determine research findings or the insights and recommendations of its experts. AUTHORS Brigette Courtot, Alaisha Verdeflor, Margaret Haughney (Georgetown University), Maria Alva (Georgetown University), Michelle Magee (Georgetown University), and Boon Peng Ng (University of Central Florida) RESEARCH SUPPORT Emily Cheigh (Georgetown University), Katie Humphrey (Georgetown University), Alessandra Wade (Georgetown University), and Carol (Jiale) Zhou (Georgetown University) Let's help communities build more secure, hopeful futures. Today's complex challenges demand smarter solutions. Urban brings decades of expertise to understanding the forces shaping people's lives and the systems that support them. With rigorous analysis and hands-on guidance, Urban Institute help leaders across the country design, test, and scale solutions that build pathways for greater opportunity. Your support makes this possible. Research and Evidence Health Policy Health Care Coverage, Costs, and Access Health care delivery and payment Health care systems and managed care plans Medicaid and the Children's Health Insurance Program

FHLBank Chicago releases 2025 Impact Report, highlighting expanded support for housing and community development across Illinois and Wisconsin. Published on Apr 28, 2026 The Federal Home Loan Bank of Chicago (FHLBank Chicago) today released its 2025 Impact Report, highlighting another year of meaningful support for member financial institutions and communities across Illinois and Wisconsin. As housing affordability challenges persisted and economic conditions remained dynamic, FHLBank Chicago continued to provide the liquidity, funding, and community investment programs its over 600 members rely on to drive local impact. Through human interest stories and data-driven insights, the report illustrates how FHLBank Chicago is Investing in Opportunities - delivering reliable funding, expanding access to affordable housing, supporting economic development, and strengthening its workforce and partnerships. In 2025, FHLBank Chicago funded $3.3 billion in discounted Community Advances and delivered $106 million in housing and economic development grants - supporting the creation or preservation of more than 14,800 housing units and over 14,700 jobs. "Housing affordability remains a pressing concern across our district, and our members continue to navigate a complex economic environment," said Michael Ericson, President and CEO of FHLBank Chicago. "In 2025, we remained a trusted partner - providing the liquidity, funding, and community investment resources needed to make a meaningful difference. This report reflects the strength of those partnerships and the impact we are achieving together." FHLBank Chicago continued to advance housing and community development through its core programs. In 2025, the Affordable Housing Program General Fund helped finance 37 housing projects, while the Downpayment Plus(R) Programs provided $43 million in assistance in partnership with 233 members to help more than 4,500 individuals and families achieve homeownership. Community First(R) grant programs also addressed housing and community development needs across the district, supporting paid internships and fellowships for affordable housing developers and expanding services for low- and moderate-income aspiring homebuyers at 44 housing counseling agencies. FHLBank Chicago also enhanced its community lending offerings in 2025 by launching a redesigned Community Advance product, streamlining access to discounted funding and expanding eligibility to better support housing and economic development projects. Beyond funding, FHLBank Chicago strengthened its role as a housing leader by convening partners across Illinois and Wisconsin, including a multi-year collaboration with the Urban Institute to address housing supply challenges and identify data-driven solutions. FHLBank Chicago also maintained its focus on operational excellence, investing in employee development and organizational capabilities to ensure continued responsiveness, innovation, and resilience for the benefit of its members. To view the full report and explore the stories behind the numbers, visit fhlbc.com/impact.

National Fair Housing Alliance and Urban Institute launch new Fair Housing Data Mapping Tool to expand access to critical Housing Data. WASHINGTON, D.C. - The National Fair Housing Alliance(R)(NFHA(TM), in collaboration with the Urban Institute, today announced the launch of the Fair Housing Data Mapping Tool, a new resource designed to equip policymakers, advocates, and community stakeholders with comprehensive, accessible data to advance fair and affordable housing efforts nationwide. Where a family lives shapes nearly every aspect of their lives - from the schools their children attend to the jobs they can access, the air they breathe, and how long they live. As the nation's fair and affordable housing crisis deepens, local leaders need timely and reliable data to make informed decisions and allocate resources for maximum impact. The Fair Housing Data Mapping Tool expands access to critical housing data, providing state, county, and census tract-level information on housing affordability, mortgage lending patterns, housing quality, and demographic characteristics. The tool also integrates opportunity indicators, including school quality, proximity to jobs, transportation access, and environmental conditions, allowing users to understand housing in the full context of community life. "Data is one of the most powerful tools we have to advance fair housing and expand opportunity for all," said Nikitra Bailey, Executive Vice President of the National Fair Housing Alliance. "As we commemorate Fair Housing Month, and at a time when critical public data sources are being removed or restricted, this tool ensures that advocates, local leaders, and everyday people have what they need to identify where housing discrimination persists, where investment is needed, and how to build resilient, well-resourced communities where everyone can thrive." "This data mapping tool is one of many ways to make data more usable and actionable," said Rekha Balu, Vice President at the Urban Institute. "We encourage advocates and local leaders to let us know how they use data to inform policy and planning." The tool is designed to support the full arc of fair housing planning and advocacy. The tool allows you to identify where housing challenges are most acute, track trends over time, build community consensus around shared data, and measure the impact of investments and policy changes. Key features include: * Interactive Mapping and Trend Analysis: Tools to examine patterns across geography, population groups, and trends over time. * Extensive Housing Data: Metrics on housing affordability, cost burden, housing quality, tenure, and mortgage applications and denials. * Community and Demographic Indicators: Data on poverty, disability, and population characteristics to help assess community needs. * Opportunity and Access Insights: Information on school quality, access to jobs, transportation, and environmental conditions. Access the Fair Housing Data Mapping Tool to explore the data behind the housing crisis in your community and take informed action toward a more equitable future. The National Fair Housing Alliance leads a coalition of organizations and individuals that works to end housing discrimination, expand equitable opportunities, and build inclusive, well-resourced, and resilient communities where people can thrive.