New federal rules will require more than 18 million Medicaid enrollees nationwide to show they’re working, volunteering, or ...

Nebraska will become the first state to implement new work requirements for some people with Medicaid health insurance under ...

Missouri is delaying a long-promised overhaul of its computer systems for social safety net programs. The delay is due to new federal deadlines and requirements mandated by Congress. Advocates say the ...

Federal prosecutors announced new indictments Thursday in the widening Minnesota fraud scandal, this time involving two ...

JEFFERSON CITY, Mo. — Children in many states are being wrongly cut off from Medicaid because of a “glitch” in the automated systems being used in a massive eligibility review for the government-run ...

The Centers for Medicare & Medicaid Services (CMS) claims that WISeR, using AI technology, "will help ensure people with ...

Louisiana's Medicaid changes have left hundreds of thousands of people unsure about their health care. On December 2, 2025, ...

Over the last 10 years, I have worked in the Medicare industry and experienced a wide range of challenges alongside my clients. From navigating the COVID-19 pandemic, to contract changes involving ...

Medicare is launching a new pilot program that will require prior approval for 17 health services using artificial ...

CMS floats measures changes with 24 quality and efficiency updates for Medicare programs, inviting public feedback through Jan. 6.

CMS’ new ACCESS model, slated to begin on July 1, aims to shift traditional Medicare fee-for-service toward value-based care ...