Insights

Federal-to-state pressure is now an operating condition. The work requirement outreach clock is running; behavioral health rate cuts are law in multiple states. You must identify which clients are in Medicaid expansion to help them navigate exemption processes and run a financial model assessing your service lines against the impact of the enacted rate reductions.

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.