Gov. Tim Walz halted payments and ordered an independent audit across 14 high-risk programs amid growing political pressure.
Analysts report $11 billion in spending even as the state serves 31,000 fewer residents and patients struggle with long waits and access hurdles.
Michigan’s experience illustrates how challenging it can be to stop large numbers of people from inadvertently losing coverage,
Providers report denial rates up to 17.5 percent. To cope with the mounting financial pressure, some small clinics have stopped accepting Medicaid altogether.
A decade of noncompliance with federal rules has left districts scrambling to meet student mental health needs without adequate support.
A Medicaid work rule tucked into the sweeping law is now being cast as a liability for Republicans in competitive districts.
Under new federal law, states must verify millions of enrollees’ employment status. Some officials are worried about the administrative burden.
Officials said the program’s cost ballooned to over $24 million in 2024, which they attributed in large part to parents committing fraud.
A housing assistance program “proved to be extremely vulnerable to fraud,” according to an FBI affidavit.
Despite recent cutbacks to the insurance program, more states now pay for access to doulas, who provide support during pregnancy and childbirth.
Hospitals stand to lose hundreds of millions of dollars under the new tax and spending law, with rural facilities at particular risk. Some states are likely to reconvene their legislatures to deal with funding shortfalls.
States are spending 15 percent of their home-generated revenue on the program, seeing their largest cost increases in 20 years.
The court ruled that states can deny Medicaid payments for medical screenings and other services at the abortion provider. The decision reverses prior policy allowing any qualified provider to be paid by Medicaid.
Hospital associations say more rural facilities will close if Medicaid cuts go through. Potential aid includes changes to matching rates and provider taxes.
With Congress on the verge of passing new mandates, state Medicaid directors warn that the planned implementation date at the end of next year is too soon.
Millions are likely to lose health insurance, and there is no credible data that imposing such rules would save money. They would hurt rural communities and red states as much as blue ones.
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