Kansas Medicaid disability-services waiver approved for October launch
Federal approval clears Kansas to begin its Community Supports Waiver on Oct. 1, 2026, with projected first-year enrollment of 500 people.
Medicaid
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Federal officials defer about $867.5 million in Minnesota Medicaid payments pending high-risk-claim review
Federal health officials said they deferred approximately $867.5 million in Medicaid payments to Minnesota while the state supplies documentation supporting claims identified as high risk.
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North Dakota warns refugees and asylees of October changes to SNAP and Medicaid eligibility
North Dakota Health and Human Services says a federal eligibility change taking effect Oct. 1, 2026, will revise the “qualified alien” definition used for SNAP and Medicaid, affecting refugees, asylees and other humanitarian categories identified by the agency.
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Ohio Medicaid changes prior authorization rules for some behavioral health and substance-use services
Ohio Medicaid’s July 1 threshold-based review system does not require approval for most members to start covered care, but authorization may be needed to continue certain services after annual unit or consecutive-day limits are reached.
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North Dakota Medicaid tightens enrollment and review rules for transportation and care providers
North Dakota Medicaid has paused some new provider enrollments and is imposing expanded identity, licensing, vehicle and insurance requirements on non-emergency transportation providers as a broader review plan begins.
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North Carolina’s new $34 billion budget is now law. What changes for pay, taxes and state services
North Carolina’s 2026-27 budget is law. Here’s when teacher and state-worker pay, tax rates, Medicaid funding and Hurricane Helene recovery money take effect.
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New York Medicaid officials seek public input on proposed five-year waiver extension
New York is asking CMS to extend a major Medicaid demonstration for five years. Residents can speak Aug. 11 or submit written comments by Aug. 21, 2026.
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Nebraska Medicaid Work-Requirement Reviews Begin for First Renewal Group
Nebraska began Medicaid expansion work requirements May 1. Existing members are reviewed during their regular renewal, with the first affected eligibility periods ending July 31, 2026.
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Kansas puts new frail-elderly home-care applicants on Medicaid waiver waitlist
A Kansas Medicaid waiver waitlist took effect July 6 for new applicants seeking in-home services for frail older adults. Applicants already approved for program eligibility were allowed to continue through enrollment.
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Arkansas Medicaid Work-Requirement Checks Begin, With Penalties Delayed Until 2027
Arkansas DHS is checking records for many ARHOME enrollees during a six-month soft implementation. Notices may arrive now, but penalties under the new requirement begin no earlier than January 1, 2027.
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Ohio Medicaid Work Requirements: What Enrollees Need to Know Before 2027
Ohio Medicaid’s new 80-hour monthly community-engagement requirement begins January 1, 2027. Here is who may be affected, how Ohio plans to verify eligibility and what enrollees should do before notices arrive.
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New Mexico Medicaid Costs Rose as Enrollment Fell, LFC Analysts Find
New Mexico Medicaid spending more than doubled through fiscal 2026 even as enrollment fell after its fiscal 2023 peak, putting attention on per-member costs, hospital payments and managed-care accountability.
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New Hampshire Medicaid Members Should Prepare for 2027 Work-Requirement Changes
New Hampshire is preparing Granite Advantage members for federal Medicaid changes beginning January 1, 2027, including an 80-hour monthly community-engagement standard for applicable adults.
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Nevada Medicaid prepares for 2027 work requirements and six-month renewals
Nevada plans September notices to about 280,000 Medicaid expansion members before a January 1, 2027 federal work requirement, while exemptions and a lawsuit could change implementation.
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Idaho Abortion Rights Initiative Heads to November Ballot; Arguments Due July 31
Idaho voters will decide Proposition 1 on November 3, 2026. Arguments for or against the proposed reproductive-rights law are due to the Secretary of State by 11:59 p.m. Mountain Time on July 31.
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California Faces $867.5 Million Medicaid Deferral as IHSS Review Reaches Deadline
CMS is withholding $867.5 million in federal Medicaid funds from California while reviewing in-home-care claims. The state says IHSS services continue.
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Ohio Medicaid Audit Flags Weak Oversight and Billions in Potentially Improper Payments
An Ohio Auditor of State review found gaps in Medicaid claims monitoring, reporting, deposits, rebates and system access. A separate audit projected up to $4.4 billion in potentially unallowable costs, but the figure is based on sampled transactions and is not a confirmed loss.
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Missouri to Pause New Medicaid Enrollment for Two Provider Groups Aug. 1
Missouri will pause initial MO HealthNet enrollment applications for DMEPOS and consumer-directed services or personal-care providers statewide starting Aug. 1, 2026. Existing active providers and applications received before that date are excluded.
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Kentucky Medicaid Members Begin Getting Notices About 2027 Community-Engagement Rules
Kentucky Medicaid’s first notices are informational, but some adults may need to document work, education, training, volunteering or qualifying income before applying or renewing coverage in 2027.
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Montana Medicaid Work Rules Are in Effect. What Enrollees Need to Do Before October
Montana Medicaid Expansion adults ages 19 to 64 generally must document 80 hours of monthly activity, but coverage denials or disenrollment for noncompliance are not scheduled until October 2026.
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Michigan’s FY 2026-27 Budget Is Law: What Changes for Roads, Schools and Medicaid
Gov. Gretchen Whitmer signed Michigan’s FY 2026-27 budget on July 21. Most spending changes begin with the fiscal year on October 1, including money for roads, free school meals, tax provisions and Medicaid and SNAP administration.
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Beshear Plans to Use More Than $781 Million to Block Kentucky Medicaid Rate Cut
Gov. Andy Beshear says unexpected state revenue will prevent a scheduled 4% Medicaid provider-rate cut on August 1, fund additional Michelle P. waiver costs and address other state funding gaps.