June 19, 2026

Medicaid agency

Recession-Proofing Your Agency Against Medicaid Cuts: A 2026 Operating Playbook

Summary Medicaid cuts home care agency financial pressure is real, it’s multi-year, and it arrives alongside rising labor costs in a way that compounds rather than alternates. The agencies that navigate it successfully won’t be the ones that wait for rate clarity before acting — they’ll be the ones that quantified their specific exposure in […]

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State-by-State Work Requirement Tracker

State-by-State Work Requirement Tracker for Home Care Agencies

Summary Medicaid work requirements by state is an implementation landscape that’s already active in Nebraska and Montana, arriving in Iowa in December, and reaching all remaining 41 expansion states by January 2027. The federal framework is uniform — 80 hours monthly, mandatory exemptions for elderly, pregnant, and disabled enrollees — but state-level decisions about additional

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