Rural Vermont Gets $11.7 Million for Nursing Homes and Health Workers
Vermont’s first rural-health projects will fund tuition benefits, nursing-home equipment, dialysis access and licensed nursing-assistant training.
Medicaid
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Treasury Flags $17.5 Billion in Suspected Health Care Fraud
FinCEN says bank reports flagged $17.5 billion in suspicious health care activity, but the figure is not a confirmed fraud or taxpayer-loss total.
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Medicaid Work-Rule Guidance Sets Jan. 1 Deadline and 80-Hour Test
CMS has set a Jan. 1, 2027, Medicaid deadline. Affected adults may need 80 hours of work, school or service, with exemptions and a 30-day appeal window.
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Nebraska disaster survivors get temporary Medicaid work-rule relief in 13 counties
Nebraska Medicaid expansion applicants and members in 13 disaster-affected counties may qualify for temporary hardship relief, automatic case review and extended renewal windows.
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CMS allocates $122 million for rural health care in Virginia
Virginia will use an initial $122 million rural-health allocation for telehealth, maternal care, workforce training and other services, but rollout dates vary.
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Illinois Medicaid customers face new coverage deadlines as October changes near
Some Illinois noncitizens may lose full-scope Medicaid coverage Oct. 1. Here are the eligibility categories, deadlines and steps customers should take now.
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CMS Medicaid Tax Proposal Puts States on Notice Before Oct. 1
CMS proposes tighter Medicaid provider-tax limits before an Oct. 1, 2026, change. Comments close Sept. 21, but benefit cuts are not immediate.
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Florida grand jury says $10 million Medicaid settlement was misappropriated, but files no charges
A leaked Leon County grand jury report says $10 million from a Florida Medicaid-related settlement was routed through nonprofits to political groups, but no criminal charges were filed.
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Georgia Gets $93.3 Million as Medicaid Changes Near
CMS says Georgia’s rural-health installment will support 87 hospitals, but the grants are not replacement revenue as Medicaid changes approach in 2027.
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Federal Medicaid funding rule for minors takes effect October 13
A CMS rule taking effect October 13 will restrict federal Medicaid and CHIP funding for specified procedures for minors while preserving mental-health coverage.
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GAO: 15 of 20 Major Benefit Programs Lacked Fraud-Risk Documentation
A revised GAO report found that only five of 20 major state-administered programs documented fraud-risk assessments across $1.1 trillion in obligations.
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CMS Delays Medicaid HCBS Advisory Enforcement Until 2029
CMS will not anticipate enforcement against states missing Medicaid HCBS advisory deadlines until 2029, delaying public input on rates and access.
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CMS links 50 Medicaid providers to $203.3 million in enforcement
CMS says 50 high-risk Medicaid providers were tied to $203.3 million in payments subject to federal or state action, not necessarily proven fraud or recovered cash.
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Delaware’s new state budget puts education and Medicaid at the center of $6.996 billion in spending
Delaware’s enacted FY2027 operating budget totals $6.996 billion, directing the largest shares to public education and health services while setting up changes to childcare, public-sector pay and other statewide programs.
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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.
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HHS Defers More Than $1 Billion in Medicaid Payments to California and Minnesota
The Department of Health and Human Services said the payments will remain deferred while it reviews claims classified as high risk in a Medicaid fraud crackdown.
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Three Companies and Executives Agree to Pay $36.4 Million Over Genetic-Testing Billing Allegations
Access DX Laboratory, former CEO Michael Stewart and Florida businessman Harold Shatz reached settlements with the United States over alleged kickbacks and medically unnecessary genetic testing billed to Medicare and Medicaid.
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UVM Health cuts 76 jobs and restructures 66 more positions amid pressure to reduce costs
The University of Vermont Health Network says it will eliminate about 76 positions and require 66 employees to reapply for restructured jobs as it seeks to reduce expenses.
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New York sues over Medicaid work rules that state says could affect 475,000 recipients
New York Attorney General Letitia James joined 24 states and Washington, D.C., in challenging federal Medicaid work requirements scheduled to begin Jan. 1, 2027.
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CMS Sets Nationwide Medicaid Work-Requirement Framework for 2027
An interim final rule from CMS will require certain adult Medicaid applicants and enrollees to document 80 hours of work, education, training or community service each month.
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GAO Flags Fraud Risks in 20 State-Administered Federal Programs With $1.2 Trillion in FY 2025 Funding
A new Government Accountability Office report examines fraud risks and oversight practices in 20 large federally funded programs administered by states and other government entities, including Medicaid, SNAP and disaster assistance.
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GAO warns states lack adequate safeguards for major federally funded benefit programs
A new Government Accountability Office report examines fraud risks in 20 state-administered federal programs that received an estimated $1.2 trillion in fiscal year 2025.