Medicaid news from every state
Medicaid reporting from more than 400 local newsrooms, public radio stations, advocates, attorneys general and state agencies, sorted into one feed per state and updated every four hours.
Medicaid stories from local newsrooms in every state, updated every four hours.
Latest from every state, page 34
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- Published Oct 5NY
NY Providers Warn Medicaid ABA Therapy Rate Cut Threatens Care
New York autism service providers are warning that a 50% cut to Medicaid reimbursement rates for Applied Behavior Analysis (ABA) therapy will disrupt treatment access for children with autism. Providers say the reduced rate would make New York's Medicaid reimbursement the lowest in the country, threatening the financial viability of ABA practices and provider networks. The cut affects families relying on Medicaid-funded ABA services and the agencies that employ behavior analysts and therapists statewide. Providers are raising concerns publicly as they push the state to reconsider the rate change before it takes effect.
Why it mattersA reimbursement cut this steep could force ABA providers to close or limit Medicaid caseloads, cutting off access to autism treatment for low-income families across New York.
- Published Oct 5PA
Pennsylvania Readies Residents for 2027 Medicaid Law Changes
WVIA Healthcare Reporter Lydia McFarlane is explaining upcoming Medicaid changes in Pennsylvania tied to the federal One Big Beautiful Bill Act, which takes effect in 2027. The reporting aims to help current and prospective Medicaid enrollees understand how the federal law will alter eligibility and enrollment requirements. No specific policy details, timelines beyond 2027, or enrollment figures are provided in this segment. The piece signals ongoing local news coverage of the law's rollout in Pennsylvania rather than reporting a new state action.
Why it mattersPennsylvania Medicaid enrollees and advocates need early, clear public information to navigate federally mandated eligibility and enrollment changes before they take effect in 2027.
- Published Oct 5FL
Florida House Medicaid Budget Chief Clark Joins PinPoint Lobbying Firm
Brian Clark, who spent eight years as Budget Chief of the Florida House Health Care Budget Subcommittee, is leaving the Legislature to join Tallahassee lobbying and grants consulting firm PinPoint Results. Clark spent 30 years in public service focused on healthcare financing, including time in the Medicaid office at the Agency for Health Care Administration, and staffed the House panel that drafts the health and human services section of the state budget, including Medicaid. At PinPoint, he will provide appropriations advocacy for clients spanning healthcare, human services, environmental restoration, IT, and education. PinPoint President Robert Beck previously hired Clark two decades ago when Beck led the Governor's Office of Policy and Budget.
Why it mattersClark's move gives PinPoint's healthcare and human services clients direct insider access to Florida's Medicaid budget-writing process, a significant shift in Tallahassee's appropriations lobbying landscape.
- Published Oct 5
- Published Oct 4
- Published Oct 4CO
Colorado Strips Medicaid From Thousands of Legal Immigrants Under HR1
Colorado has begun terminating Medicaid coverage for thousands of legal immigrants as eligibility restrictions from HR1, the One Big Beautiful Bill Act, take effect, alongside parallel changes narrowing SNAP eligibility. The federal law, passed last year by Republicans and signed by President Trump, tightens which lawfully present immigrants qualify for Medicaid, cutting off groups such as refugees, asylees, and other legal residents who previously had coverage. Affected individuals are losing both health coverage and food assistance simultaneously, increasing uninsured rates and strain on safety-net providers in the state. The rollout is already underway, with state agencies implementing the federally mandated eligibility changes now.
Why it mattersState Medicaid agencies and safety-net providers in Colorado must manage sudden coverage losses and redetermination workloads while absorbing increased uncompensated care for newly uninsured legal immigrants.
- Published Oct 4
- Published Oct 4
- Published Oct 2CA
HPSJ Launches Provider Training to Improve PCP Encounter Data
Health Plan of San Joaquin/Mountain Valley Health Plan notified capitated primary care providers that it is overhauling encounter submission processes tied to its PCP capitation rate methodology. The plan set new PCP capitation rates in December 2024 based on encounter and claims utilization and plans to reevaluate rates annually using that data, making accurate submission directly tied to reimbursement. Providers can expect a follow-up on capitation rate details later in October 2026, a Q&A session in November, and ongoing training, education resources, and monitoring to address common submission errors. The initiative also supports HEDIS performance and quality outcome reporting for the Medi-Cal managed care plan.
Why it mattersCapitated PCPs whose future reimbursement rates depend on encounter data accuracy must engage with the new training to avoid underpayment from incomplete or inaccurate submissions.
- Published Oct 2
- Published Oct 2
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- Published Oct 2FL
Florida Roundup Covers Medicaid and SNAP Eligibility Changes
In its weekly radio program, "The Florida Roundup" discusses recent changes to Medicaid eligibility in Florida, along with eligibility and funding changes for SNAP, as part of a broader weekly news segment. The program does not detail a single new policy action but instead surveys ongoing shifts affecting low-income Floridians who rely on both programs. No specific effective dates or further programmatic details are provided in the source material. The segment reflects continuing attention to how federal and state policy changes are narrowing eligibility and funding for safety-net programs in Florida.
Why it mattersFlorida Medicaid beneficiaries, enrollees, and advocates need to track eligibility changes that could affect coverage continuity and access to benefits.
- Published Oct 2
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- Published Oct 2CA
CMA, CAHP Sue California Over Managed Care Organization Tax
The California Medical Association and the California Association of Health Plans filed suit with the California Supreme Court challenging the state's Managed Care Organization tax. The groups argue the tax violates the state constitution, circumvents Proposition 35, exceeds voter-approved limits on taxing health insurance coverage, and fails to spend revenue as Prop 35 requires. The lawsuit targets how California structures and directs proceeds from the MCO tax, a key funding source for the state's Medicaid program. No ruling date was specified in the filing announcement.
Why it mattersA successful challenge could upend California's MCO tax revenue stream used to help fund Medi-Cal provider payments and plan financing, forcing the state to rework its Medicaid budget.
- Published Oct 2
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