Researching election stories, came across this via Rep. Marian McLawhorn:

The staff of the General Assembly has been asked to study the feasibility of creating a separate Department of Medicaid. A joint recommendation will be made to the 2013 Regular Session of the General Assembly no later than February 5, and will include a review of the administration of other state Medicaid programs; an analysis of benefits and disadvantages to creating a Department of Medicaid; any adverse impact a Department of Medicaid may have on the administration of other agencies within the Department of Health and Human Services; and an identification of various Medicaid organizational structures, including any associated costs and savings.

Sounds like a plan, but it could be a whole new world in 2013.