Insights

This is a structural shift. States are signaling that mandatory services will be protected, while optional services, which support community-based behavioral health, will continually be evaluated for cost and performance.

This March 2026 Monthly Medicaid Medicare Newsletter for behavioral health & social service providers focuses on implementing CY 2026 Medicare, updated CMS Telehealth guidance, and Medicaid Managed Care requirements. It also includes a definitive Leadership Action Checklist and our Top 5 Operational Priorities for Q2 2026 for network adequacy, compliance, and encounter data quality.

This month's Medicaid Medicare Newsletter features an analysis of December 2025 Medicare and Medicaid policy shifts, including CMS CY 2026 final rules, dual telehealth standards, rising MCO data expectations, and state readiness for 2027 work requirements. This issue provides essential compliance and strategic action items for behavioral health and social service providers.

Major November 2025 updates in behavioral health, Medicaid, and Medicare include: CMS Part B policy shifts, Medicare telehealth rule changes, HHS-OIG network adequacy report, and state-level actions in North Carolina (rate cuts, debt relief), New York (Daniel's Law RFP), Massachusetts (BHUC claims), and Arizona (chart audits). Get actionable steps for compliance and contracting.

This October 2025 Medicaid & Medicare Monthly Newsletter highlights federal policy volatility (Part D redesign, work requirement exemptions, overturned provider tax rule) and crucial state-level updates, including Georgia's Pathways to Coverage extension and North Carolina's Medicaid rate cuts. Get practical guidance for providers on financial planning, EHR integration, and payer engagement.

This edition highlights the signals of change, frontier pilots, and emerging risks that are likely to influence strategy through 2028.