As 2026 approaches, developmental disability providers in Alabama are not responding to a single policy announcement or newly published mandate. Instead, they are operating within a stable but demanding HCBS waiver environment that continues to test operational resilience. Alabama’s waiver systems remain active, complex, and capacity-constrained, placing pressure on providers

As Louisiana approaches 2026, providers delivering Home and Community-Based Services (HCBS) for individuals with developmental disabilities are navigating a period of quiet but meaningful operational change. There has been no single headline announcement or sweeping policy shift in recent months, yet the direction of the system is becoming increasingly clear.

As Washington heads toward 2026, developmental disability providers continue operating within a Home and Community-Based Services (HCBS) waiver framework that has been steadily shaping service delivery throughout 2025. While there has been no late-year policy announcement or sudden regulatory shift, the structure of Washington’s HCBS waivers is increasingly influencing how

As Kentucky moves closer to 2026, providers delivering Home and Community-Based Services (HCBS) for individuals with developmental disabilities are continuing to adapt to a reimbursement environment shaped by recent rate adjustments. While the most recent increases to HCBS waiver rates took effect in January 2025, their operational impact is still

As Colorado disability service providers prepare to enter 2026, many are revisiting their financial and operational assumptions. Updated HCBS and Developmental Disabilities (DD) rate schedules, effective through the 2025–2026 period, are shaping how agencies plan budgets, staffing levels, and service sustainability going forward.   While these rate updates did not

Minnesota disability service providers are entering 2026 with a meaningful system change ahead. The Minnesota Department of Human Services has announced updates to Disability Waiver Rate System (DWRS) component values, scheduled to take effect on January 1, 2026, or upon federal CMS approval. While this update may appear technical at

In mid-December 2025, Wisconsin’s Department of Health Services held a statewide IDD-MH (Intellectual and Developmental Disabilities with Mental Health needs) System Improvement Community of Practice check-in. While the session itself was framed as a collaborative update, its implications reach far beyond discussion. For providers across Wisconsin, this check-in offered a

As December 2025 closes, developmental disability providers across Maryland are still adjusting to one of the most significant structural changes the state has made in years. The Community Pathways Waiver, which officially took effect earlier this fall, has consolidated multiple Developmental Disabilities Administration waivers into a single framework. While the

Tennessee is closing 2025 with a significant shift in how providers delivering Home and Community-Based Services (HCBS) under Intellectual and Developmental Disability (IDD) waivers must operate. Although the state did not release a single formal “December update,” the convergence of open-model EVV adoption, revised 1915(c) waiver notices, and TennCare’s increased