Hawaii’s adult day care and community-based care sector is entering 2026 under growing pressure from two converging realities: a rapidly aging population and persistent workforce challenges across long-term care services. In response, the state has expanded Medicaid support for home- and community-based services, signaling a renewed focus on keeping older

Idaho’s adult day care and community-based care sector is facing renewed pressure as recent Medicaid reimbursement rate cuts begin to take effect. Entering 2026, providers across the state are raising concerns that reduced Medicaid funding could impact service availability, workforce stability, and long-term sustainability for programs that support older adults

West Virginia is entering 2026 with two developments that matter for adult day care operators, even if neither announcement was written specifically for adult day care centers. First, the state confirmed rate increases for Medicaid waiver service providers, a decision aimed at improving workforce stability and service delivery for community-based

Nebraska’s adult day care and community-based care sector is entering a period of heightened uncertainty as proposed changes to the state’s Medicaid waiver programs continue to draw concern from families, caregivers, and service providers. In late December 2025, public discussion intensified around how these adjustments could affect access to essential

New Mexico is entering a pivotal phase for aging and community-based care. With the release of the state’s 2025–2029 State Plan on Aging, policymakers are signaling a clear shift toward services that allow older adults to remain active, supported, and cared for within their communities. For adult day care operators,

Utah Adult Day Care providers are entering 2026 under conditions that feel deceptively calm on the surface. There have been no sweeping announcements, no emergency bulletins, and no dramatic restructuring of waiver programs. Yet beneath that stability, operational pressure is building.   Medicaid reimbursement rates for Adult Day Care services

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