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CMS Issues New Medicaid Work Requirement Rules, Signaling Major Changes for States and Managed Care Plans
CMS has released new Medicaid eligibility rules requiring certain adults to meet work, education, or community engagement standards to maintain coverage beginning in 2027.
Ohio Suspends Payments to 49 Home Health Providers in Medicaid Fraud Investigation
Ohio has suspended Medicaid payments to 49 home health providers after identifying suspicious billing patterns, marking a major step in the state’s effort to combat fraud and protect taxpayer dollars.
Study Finds Many Medicaid Managed Care Sanctions Remain Unresolved Across States
A new study finds that one in four Medicaid managed care sanctions remain unresolved, raising questions about oversight and accountability in state Medicaid programs.
Federal Home Health VBP Model Associated With Reduced Care Disparities For Medicare Beneficiaries With Dementia
A new study found the Medicare Home Health Value-Based Purchasing program was associated with reduced disparities in home health care utilization for beneficiaries living with dementia
Pennsylvania Updates Assistive Technology Limits for IDD Waivers
Pennsylvania shifts assistive technology funding for IDD waivers from a $10,000 lifetime cap to a $3,000 annual limit to improve flexibility for participants.
Colorado Medicaid Costs Surge, Raising Concerns Over Sustainability
Colorado Medicaid spending is rising rapidly, creating budget pressure and forcing lawmakers to consider cuts, reforms, or new funding options.
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