As Nevada enters 2026, Adult Day Care providers are facing a shift that is easy to overlook but difficult to ignore. Changes to Medicaid managed care enrollment and plan structures taking effect January 1, 2026 are not rewriting program rules, but they are altering how services are authorized, coordinated, and

For Adult Day Care providers in Kansas, the pressure heading into 2026 is not coming from new waiver rules or sudden policy shifts. Instead, it is emerging from something more structural and persistent: the administrative complexity created by operating within a managed-care Medicaid environment.   Kansas delivers Medicaid services through

In Arkansas, Adult Day Care services are not facing disruption from new regulations, emergency funding shifts, or waiver redesigns. The rules are familiar. The programs are established. Yet providers across the state are quietly confronting a more consequential issue than policy change: whether they can continue offering services at current

For Adult Day Care providers in Mississippi, sustainability is no longer a theoretical concern or a long-term planning topic. It is a daily operational question. With Medicaid reimbursement rates remaining largely unchanged and operating costs continuing to rise, many programs are reassessing what it realistically takes to remain viable without

Across Iowa, Adult Day Care providers are entering 2026 with a familiar set of policies but a very different operational reality. Waiver structures remain in place, reimbursement models are stable, and program definitions are largely unchanged. Yet on the ground, providers are feeling increasing strain not because of new rules,

For Adult Day Care operators in Connecticut, the most important shift heading into 2026 is not a new waiver rule, a revised rate schedule, or a structural overhaul of Adult Day Health services. It is something more subtle and more consequential: the criteria by which providers are being evaluated is

For Adult Day Care providers in Oklahoma, the transition into 2026 is not defined by new funding announcements or emergency policy shifts. Instead, it is shaped by something quieter and more difficult to manage: operating under stable Medicaid reimbursement rates while costs, oversight, and expectations continue to rise.   Oklahoma

Adult Day Services providers across Oregon are entering 2026 under reimbursement conditions that are already familiar, yet increasingly difficult to navigate. Since mid-2025, the Medicaid Adult Day Services rate has remained at $115.24 per service unit. While this rate is not new, its impact is becoming more pronounced as providers