Understanding Fraud and Abuse in Medicaid April 24, 2025 Event As Congress considers ways to help pay for extending tax cuts, some lawmakers have suggested that hundreds of billions of dollars in federal savings could be achieved by addressing fraud, waste and abuse in the Medicaid program. Three experts joined Health Wonk Shop series moderator Larry Levitt in an hour-long discussion designed to unpack claims about fraud and abuse and put them in a larger context.
5 Key Facts About Children with Special Health Care Needs and Medicaid April 18, 2025 Issue Brief Amid debates about proposed cuts to federal Medicaid spending, this brief analyzes key characteristics of children with special health care needs and explores how Medicaid provides them with coverage.
How States Verify Citizenship and Immigration Status in Medicaid April 16, 2025 Issue Brief This brief describes federal citizenship and immigration status eligibility and eligibility verification requirements for Medicaid. Eligibility for federally-funded coverage under Medicaid and the Children’s Health Insurance Program is limited to U.S. citizens and certain lawfully present immigrants.
The Impact of Medicaid and Title X on Planned Parenthood April 16, 2025 Issue Brief This KFF analysis demonstrates the impact the exclusion of Planned Parenthood from Medicaid and the Title X funding freeze may have on low-income and uninsured individuals who get their family planning care at Planned Parenthood.
10 Things to Know About Rural Hospitals April 16, 2025 Issue Brief This brief explores data about rural hospitals’ financial health and stability at a time when Congress is considering potential federal budget cuts. It examines the prevalence of rural hospitals, their characteristics and finances, federal support for these facilities, and the potential impact of reductions in Medicaid and Medicare spending that are under consideration.
Texas Judge Overturns Controversial Nursing Facility Staffing Rule April 11, 2025 Blog On Monday, April 7, Judge Matthew Kacsmaryk in the US District Court for Northern Texas ruled to overturn key elements of a Biden administration rule that established the first-ever minimum staffing ratios for nursing facilities.
5 Key Facts About Medicaid Coverage for Adults with Chronic Conditions April 10, 2025 Issue Brief Nearly three in four adults enrolled in Medicaid have one or more chronic conditions. Medicaid spending doubles for adults with 1-2 chronic conditions and quadruples for those with 3 or more chronic conditions. Low or no out-of-pocket costs for prescription medications in the Medicaid program help adults with chronic conditions avoid cost-related rationing or delays in prescription access. Uninsured adults were 2.5 times more likely than Medicaid-enrolled or privately insured adults to report skipping or delaying prescription medications due to cost.
50-State Survey Archives: Medicaid HCBS and Eligibility Based on Disability or Age 65+ April 7, 2025 Report This page holds an archive of KFF’s regular surveys of states about their Medicaid home- and community-based services (HCBS) programs and their eligibility policies for people who are eligible for Medicaid on the basis of having a disability or being ages 65 and older (the “non-MAGI” eligibility pathways).
Medicaid Eligibility Levels for Older Adults and People with Disabilities (Non-MAGI) in 2025 April 7, 2025 Issue Brief KFF’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.