Ending the Public Health Emergency for Medicaid Home- and Community-Based Services
This policy watch explores the potential implications of ending the PHE for Medicaid HCBS programs.
View the Latest: Long-Term Care
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Medicaid Beneficiaries Who Need Home and Community-Based Services: Supporting Independent Living and Community Integration
ReportThis report features nine seniors and people with disabilities living in Florida, Georgia, Kansas, Louisiana, North Carolina, and Tennessee, who rely on home and community-based services (HCBS). These profiles illustrate how beneficiaries’ finances, employment status, relationships, well-being, independence, and ability to interact with the communities in which they live---in addition to their health care---are affected by their Medicaid coverage and the essential role of HCBS in their daily lives.
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Key Issues in Long-Term Services and Supports Quality
Issue BriefThis issue brief discusses four key issues related to long-term services and supports (LTSS) including institutional and home and community-based services (HCBS) quality, highlighting major legislative and policy changes over the last 30 years since the passage of the Nursing Home Reform Act.
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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.
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Managed Care for Low-Income Populations with Special Needs: The Tennessee Experience
ReportThis report focuses on Tennessee's experience in moving their disabled Medicaid beneficiaries into managed care.
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A Look at Waiting Lists for Medicaid Home- and Community-Based Services from 2016 to 2025
Issue BriefThis data note provides new information about waiting lists in Medicaid home care before many of the provisions in the 2025 reconciliation law go into effect. The data come from KFF's 23rd survey of officials administering Medicaid home care programs in all 50 states and DC.
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Payment Rates for Medicaid Home- and Community-Based Services: States’ Responses to Workforce Challenges
Issue BriefIn response to long-standing workforce challenges in home- and community-based services, states have reported increasing Medicaid payment rates, providing more education and training or leveraging other strategies to recruit and retain workers.
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In 45 States, Fewer Than Half of Nursing Facilities Have Enough Staff to Meet New Federal Requirements
News ReleaseIn 45 states, fewer than half of nursing facilities currently meet all three staffing minimums required in the final federal rule that the Centers for Medicare and Medicaid Services (CMS) released in April, and in 28 states, less than a quarter do, according to a new KFF analysis. The share of facilities that meet these requirements ranges from 5% or lower in four states (AR, TN, TX and LA) to 50% or higher in five…
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Medicaid Eligibility Levels for Older Adults and People with Disabilities (Non-MAGI) in 2025
Issue BriefKFF’s Survey of Medicaid Financial Eligibility for Older Adults & People with Disabilities, conducted in March 2025 by KFF and Watts Health Policy Consulting, provides a baseline of Medicaid eligibility as states return to normal operations after the end of the COVID-19 pandemic and ahead of potential changes to the Medicaid program.
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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.