Medicaid Work-Rule Fight Moves to State Implementation
States are building Medicaid verification systems ahead of a January 1, 2027 deadline while a 26-state lawsuit challenges CMS rules on medical frailty.
States are building Medicaid verification systems ahead of a January 1, 2027 deadline while a 26-state lawsuit challenges CMS rules on medical frailty.
Kentucky will use unexpected surplus and corporate-tax revenue to prevent a scheduled 4% Medicaid reimbursement reduction for affected fee-for-service providers. The move protects services through the current fiscal-year period, while lawmakers still face a recurring-funding question.
Iowa HHS is expected to announce second-round rural cancer hub awards on or around August 7, with an approximate $26.7 million available over five years.
Indiana’s six-month moratorium on new certification and enrollment for many home- and community-based Medicaid providers took effect August 1, following an FSSA audit that reported $198,031,230.18 in extrapolated improper payments.
A California WARN filing shows Dignity Health permanently eliminated 57 positions at Bakersfield Memorial Hospital effective August 3, including 33 nurses, according to local reporting.
Florida Medicaid open enrollment runs Oct. 1-Nov. 30, 2026. Beneficiaries can keep their plan or request a change effective Dec. 1, while some adults with intellectual and developmental disabilities have a separate voluntary ICMC option.
Three Indiana VA medical centers and associated clinics are scheduled to switch systems Aug. 22, temporarily limiting online appointments, messages and refills.
A GAO report says weak CMS safeguards may have allowed unauthorized Marketplace changes, putting coverage, premiums and tax credits at risk for consumers.
Oklahoma has secured $223,476,948.62 for the first budget period of a five-year rural-health grant. Providers, schools and community groups are now watching funding decisions, procurement and a September 11 school-health deadline.
North Dakota organizations face rural-health grant deadlines from Aug. 9 through Aug. 19 as the state begins deploying nearly $199 million in federal funds.
The state raised the combined ceiling for three Medicaid managed-care contracts to $4.41 billion through August 2029. The approval does not show that the full increase has been spent or will be spent immediately.
Hudson Regional Health gave notice of an appeal after a court dismissed its challenge to the state closure process. The former Heights hospital at 176 Palisade Avenue remains closed, with no replacement facility approved.
Hoag’s Irvine expansion has entered its service-opening phase, with a surgical pavilion open and maternity, neonatal and specialty facilities planned for September 2026.
CMS’s temporary Medicare GLP-1 Bridge offers selected beneficiaries a $50 monthly route to certain weight-loss drugs, but strict eligibility limits apply.
Some Connecticut adults enrolled in or applying for HUSKY D may need to document work, education, training or community service beginning January 1, 2027. Exemptions and Connecticut’s verification process are still developing.
CommonGood Medical has moved to a larger McKinney clinic, expanding access for eligible uninsured and low-income Collin County residents.
CMS will begin shorter routine surveys for some high-performing nursing homes on September 8, but complaints and safety concerns can still trigger traditional inspections.
A proposed $48,579,513 modernization of Rochelle Community Hospital would add a new patient-services building and expand emergency capacity, but state staff questioned emergency-department utilization projections and some project costs.
The Charlie Norwood VA Medical Center’s in-house ambulance service had completed more than 120 veteran transports by its July 16 launch event, according to WRDW, with the program designed for veterans needing medically supported transportation.
Illinois will send personalized Medicaid notices in August before coverage ends Sept. 30 for some noncitizens under new federal eligibility rules.
Wyoming’s first-year federal rural-health award is moving into provider selection and contracting after the main application deadline passed Aug. 2, with first-year funds expected to be obligated by Oct. 30.
A July GAO review found $23.7 billion in Medicare Advantage payment errors and $608 million in VA Community Care improper or unknown payments.