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.

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.