State-by-state updates that matter.
Real policy changes affecting Medicaid, waivers, IEPs, and adult services — tracked in every state.
California asks for feedback on behavioral health policy draft by September 3
California DHCS released draft updates to its Behavioral Health Services Act County Policy Manual and is accepting feedback through September 3, 2026. The proposals address county reporting, language access, behavioral health equity,…
Texas removes live-in provider restriction in consumer-directed services
Texas removed a Consumer Directed Services rule that barred certain Community First Choice personal attendant or habilitation providers from living with the person receiving services in HCS and TxHmL. This may expand…
Colorado opens public comment on Fall 2026 HCBS waiver amendments
Colorado HCPF is accepting public comments on proposed Fall 2026 amendments to HCBS waivers including CES, SLS, and DD. Families have until September 4, 2026, to submit feedback before the changes go…
Texas mandates new IAMOnline portal and MFA for long-term care providers
Texas Medicaid providers must transition to the new IAMOnline portal with mandatory multi-factor authentication by August 24, 2026. This impacts how providers manage waiver and long-term care services.
Florida opens public comment on ICMC waiver amendment
Florida AHCA is accepting public comments on an amendment to the ICMC Waiver that updates the definition of developmental disability. Comments are due by August 28, 2026.
New York halts new Medicaid provider enrollments for six months
New York has paused new Medicaid provider enrollments, including for ABA therapists, for at least six months to implement a new federal revalidation process. Existing enrolled providers are not affected.