The Medical Frailty Exemption from Medicaid Work Requirements: Key Takeaways from the CMS Interim Final Rule
This brief describes new guidance and potential challenges states will face in operationalizing the medical frailty exemption.
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The Medical Frailty Exemption from Medicaid Work Requirements: Key Issues to Watch for in Upcoming CMS Guidance
Issue BriefThis brief describes early state plans to operationalize the medical frailty exemption for Medicaid work requirements and identifies key issues and questions states are facing, some of which may be answered in forthcoming CMS guidance.
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Medicaid Eligibility Levels for Older Adults and People with Disabilities (Non-MAGI) in 2026
Issue BriefKFF’s Survey of Medicaid Financial Eligibility for Older Adults & People with Disabilities, conducted in March 2026 by KFF and Watts Health Policy Consulting, provides a baseline of Medicaid eligibility ahead of potential changes to the Medicaid program stemming from the 2025 reconciliation law.
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Medicaid Home Care (HCBS) in 2025
Issue BriefThis issue brief provides an overview of what Medicaid home care (also known as “home- and community-based services” or HCBS) is, who is covered, and what services were available in 2025.
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Medicaid’s Home Care Support for Family Caregivers in 2025
Issue BriefMedicaid home care programs offer various supports to family caregivers such as paid caregiving, self-directed services, respite care, and caregiver training. This issue brief describes the availability of self-directed services and supports for family caregivers in Medicaid home care in 2025, before most provisions in the reconciliation law take effect.
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Payment Rates for Medicaid Home Care Ahead of the 2025 Reconciliation Law
Issue BriefIncreased payment rates for Medicaid home care workers are states’ key approach to addressing workforce shortages. This issue brief describes Medicaid payment rates for home care and other workforce supports that are in place in 2025, before the majority of the 2025 reconciliation law provisions start taking effect.
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Distribution of the Total Population with a Disability by Insurance Coverage
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Disability Rate for the Total Population
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A Look at Nursing Facility Characteristics in 2025
Issue BriefThis data note discusses the impact of the 2025 reconciliation law on nursing facilities and examines the characteristics of nursing facilities and the people living in them with data from Nursing Home Compare, a publicly available dataset.
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States’ Management of Medicaid Home Care Spending Ahead of H.R. 1 Effects
Issue BriefUsing data from the 23rd KFF survey of officials administering Medicaid home care programs, this issue brief describes the mechanisms states are currently using to limit Medicaid spending on home care and their plans for adopting new mechanisms in state fiscal year (FY) 2026.