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.
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.
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.
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.
Idaho will begin applying federal Medicaid expansion reporting requirements on January 1, 2027. Applicants and current enrollees should understand the activity standards, exemptions, review periods and steps to take now.
Texas leaders are requiring agencies, appellate courts and universities to build 2028-29 budget requests around a 3% lower baseline, with major exemptions.
Oklahoma’s Medicaid agency says thousands of residents may have been fraudulently enrolled as the attorney general examines oversight and fraud referrals.
A new HHS-OIG evaluation found Medicaid managed-care fraud-referral deadlines range from one day to 270 days, with uneven training, enforcement and feedback.
HHS is temporarily withholding $1.07 billion in Medicaid payments to California and Minnesota while states document claims federal officials labeled high risk.
HHS-OIG denied recertification of New York’s Medicaid Fraud Control Unit and suspended federal funding through Sept. 30 after saying the unit lagged similar states in criminal fraud cases. ([oig.hhs.gov](https://oig.hhs.gov/documents/medicaid-fraud-control-units/11727/NY_MFCU.pdf))
Federal prosecutors charged 13 North Texas defendants in seven cases, with most in the Dallas division, as part of a June 23 fraud sweep.
A multistate lawsuit says CMS’s new Medicaid work-requirement framework could make exemption checks harder before the Jan. 1, 2027 rollout.
DOJ says its 2026 National Health Care Fraud Takedown charged 455 defendants tied to more than $6.5B in alleged false claims. The rollout is continuing.
On June 29, 2026, states and D.C. sued CMS over Medicaid work and community-engagement rules, saying CMS will narrow the “medically frail” exemption before Jan. 1, 2027.
