States’ Use of Program Integrity Tools in Medicaid Home Care
This issue brief provides new information about Medicaid home care program's use of program integrity tools from KFF’s most recent survey of state Medicaid home care programs.
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A Look at Waiting Lists for Medicaid Home- and Community-Based Services from 2016 to 2026
Issue BriefThis data note provides new information about waiting lists from KFF’s most recent survey of state Medicaid home care programs, including a discussion of why waiting lists are an incomplete measure of unmet need and why they are not necessarily comparable across states or over time, despite KFF’s efforts to obtain as consistent data as possible.
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What to Know About Recent Federal Actions Involving State Medicaid Program Integrity
Issue BriefThis brief describes recent HHS actions (state-specific and nationwide) related to Medicaid program integrity and outlines some open questions about the future of Medicaid program integrity, including which states might become a focus of administration effort.
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Medicaid Financing: The Basics
Issue BriefMedicaid represents $1 out of every $5 spent on health care in the U.S. and is the major source of financing for states to provide health coverage and long-term services and supports for low-income residents. This brief examines key questions about Medicaid financing and how it works.
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Understanding Medicaid Home Care Amid CMS Focus on Potential Fraud and Abuse
Issue BriefThis issue brief describes how Medicaid home care operates—including who is eligible and the systems in place to promote program integrity in its delivery—and the challenges of using new CMS data to identify unusual billing patterns or potential fraud in the program.
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What Newly Released Medicaid Data Do and Don’t Tell Us
Policy WatchOn February 14, 2026, CMS released a dataset with provider-level spending data that the agency suggests could be used to identify unusual billing patterns for specific services, states, or providers. This policy watch describes what the data include, what they exclude, and how they could potentially lead to mistaken conclusions given the limitations of the data.
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Potential Impact of the Federal Pause on Immigrant Visas From 75 Countries on the U.S. Health Care Workforce
Policy WatchThis policy watch discusses the implications for the U.S. health care workforce of the recent DOS immigrant visa pause for individuals from 75 countries deemed more likely to be a public charge.
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Medicaid: What to Watch in 2026
Issue BriefIn this brief on Medicaid issues to watch for 2026, KFF explores how state fiscal pressures are likely to converge with the implementation of the 2025 reconciliation law to affect Medicaid coverage, financing, and access to care over the next year, especially leading up to the midterm elections.
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Medicaid and Upcoming State Budget Debates
Issue BriefThis brief describes current state fiscal conditions as states begin fiscal year 2027 budget debates and highlights key areas to watch for Medicaid policy changes as states respond to fiscal challenges and the 2025 reconciliation law.