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A Look at the Medicaid Payment Error Rate Measurement (PERM) Program and Upcoming Changes and Impacts
Issue BriefThe PERM program measures improper payments in Medicaid through cyclical audits of state Medicaid programs. This brief explains the PERM program and its three component error rates as well as upcoming changes to PERM and possible state impacts.
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A Closer Look at Nebraska, the First State Planning to Implement a Medicaid Work Requirement
Policy WatchNebraska is the first state to announce it plans to begin enforcing Medicaid work requirements early, starting May 1, 2026. Initial reports from the state during its recent January Medicaid Advisory Committee (MAC) meeting and data from KFF’s Medicaid work requirements tracker provide early insights into how Nebraska is preparing for implementation.
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Medicaid and CHIP Eligibility, Enrollment, and Renewal Policies as States Resume Routine Operations
ReportA KFF survey of state Medicaid officials examines state Medicaid and CHIP eligibility, enrollment, and renewal policies in place as of January 2025 as states return to routine operations following the unwinding of the continuous enrollment provision. The survey finds that states have broadly adopted policy and system changes to automate and improve the accuracy and efficiency of Medicaid enrollment and renewal processes and provides a baseline of state policies ahead of potential changes to…
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Implementing Work Requirements on a National Scale: What We Know from State Waiver Experience
Policy WatchOn May 18, the House Budget Committee advanced a budget reconciliation bill that includes significant changes to the Medicaid program. As anticipated, Medicaid work requirement provisions are included and preliminary estimates released by the Congressional Budget Office (CBO) show that this provision would reduce federal spending by $280 billion over ten years, nearly half of all estimated Medicaid savings in the bill. The provisions raise many operational and implementation questions, particularly considering the experience of…
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What Are the Primary Medicaid Eligibility Pathways for Dual-Eligible Individuals?
Issue BriefThis brief examines current Medicaid eligibility policies and enrollment patterns using data from KFF’s 2024 50-state survey of states’ eligibility and enrollment policies for seniors and people with disabilities, and 2021 Medicare and Medicaid claims data from the Centers for Medicare and Medicaid Services (CMS).
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Allocating CBO’s Estimates of Federal Medicaid Spending Reductions Across the States: Enacted Reconciliation Package
Issue BriefThis analysis allocates the CBO’s estimated reduction in federal spending in the enacted reconciliation package across states based on KFF’s state-level data and where possible, prior modeling work; and shows the federal spending reductions relative to KFF’s projections of federal spending by state under current law.
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Medicaid and CHIP Eligibility, Enrollment, and Renewal Policies as States Prepare for Major Medicaid Policy Changes
ReportThe 24th annual survey of state Medicaid and CHIP program officials conducted by KFF and the Georgetown University Center for Children and Families (CCF) provides a baseline of state Medicaid and CHIP eligibility, enrollment, and renewal policies in place as of January 2026 as they prepare to implement the changes included in the 2025 reconciliation law.
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Medicaid Eligibility for Katie Beckett Children with Significant Disabilities and Special Income Rule
State Health Facts Indicator -
Medicaid Eligibility for SSI Enrollees and Optional Seniors & People with Disabilities Up To 100% FPL
State Health Facts IndicatorMedicaid eligibility, seniors, people with disabilities