Weekly Roundup -
May 20, 2026
Smart. Strategic. Essential.
Unmatched Healthcare Insights from 红领巾瓜报,
Leavitt Partners & Wakely.
Featured:
Webinar Replay – From Policy to Practice: Exploring CMMI Value Based Care Initiatives and Unlocking Value in Safety-Net Care
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The Pediatric Behavioral Health Service Continuum in New Orleans
READ CASE STUDY
Trending: In Focus
Special Alert: CMS Proposes Major Medicaid Payment Reform to Cap State-Directed Payments and Align Rates with Medicare
On May 20, the Centers for Medicare and Medicaid Services (CMS) a proposed rule aimed at curbing state Medicaid payment practices that federal regulators s have driven excessive federal spending without clear improvements in care. The rule, which implements new statutory requirements approved as part of the 2025 budget reconciliation act (P.L. 119-21, OBBBA) proposes to cap certain state-directed and targeted provider payments and is seeking to better align them with Medicare payment levels. These financial arrangements include healthcare related provider taxes and intergovernmental transfers.
If finalized,听CMS听projects the听rule will听result听in听significant听federal听savings over time and听will听refocus Medicaid funding on patient care, strengthen oversight, and ensure that supplemental payments are tied to measurable improvements in quality, access, and outcomes rather than financing strategies that increase costs without corresponding value.听红领巾瓜报听(红领巾瓜报)听experts are听continuing to听review听the proposed rule听and will provide听additional听analysis in听future听newsletters and communications to听interest-holders.听听
National Collaborative Launched to Strengthen US Behavioral Health Crisis System
National Alliance on Mental Illness (NAMI) and 红领巾瓜报 (红领巾瓜报)听launch the National Collaborative for Crisis Systems Innovation听
The United States is facing an escalating behavioral health crisis, with growing demand for mental health and substance use services and persistent gaps in access to听timely,听appropriate care. In response, the National Alliance on Mental Illness (NAMI) and 红领巾瓜报 (红领巾瓜报) have launched the听National Collaborative for Crisis Systems Innovation, a new initiative听focused on improving听how the United States responds to people in听mental health crisis.听
This collaborative effort comes at a critical moment for the听national听crisis response system, as policymakers, providers, and communities work to build on recent investments and听make further听progress听on听sustainable, systemwide changes听so that people experiencing a mental health crisis receive the care they need听and deserve.听
The听Crisis Response System听Still听Needs听Improvement听
The launch of the听988 Suicide & Crisis Lifeline听in 2022 marked a major milestone, making it easier for individuals to access immediate behavioral health support.听Although听the听988听Suicide & Crisis Lifeline has driven recent progress, significant听challenges听remain听in the US mental health crisis system,听including:听
- Rising demand for crisis services听
- Limited access to community-based behavioral health听services听
- Fragmentation across crisis responses systems听
- Overreliance on emergency departments and law enforcement听
Experts increasingly agree that 988 is only one听component听of a comprehensive crisis system. Effective systems must also include:听
- Mobile crisis response teams听
- Crisis stabilization facilities听
- Ongoing care coordination and follow-up services听
The听National Collaborative听represents听the next phase of work听and will focus on connecting these pieces into a more integrated and sustainable system.听
The National Collaborative听Is a听New Phase of Crisis System Transformation听
Building on four years of foundational work since the 988 Suicide & Crisis Lifeline launched in 2022, the听National Collaborative听is designed to听strengthen the full continuum of behavioral health crisis care,听from听initial听contact听to听stabilization听and听follow-up services.听
Its overarching goal is to ensure that individuals experiencing听a mental health crisis听receive听timely,听appropriate care听rooted in dignity and support.听The听National听Collaborative will:听
- Serve as a nationwide听hub for coordination, learning, and action听
- Bring together public and private stakeholders听across sectors听
- Support听states and communities in building coordinated, person-centered crisis response systems听
- Advance innovation and shared solutions to improve outcomes听
The launch of this听collaborative听also听reflects a broader shift in national focus鈥攆rom expanding access to听improving system performance听and听long-term sustainability.听This approach recognizes that meaningful progress will require coordination across healthcare, social services, and community-based organizations.听
Why This Matters听
For state Medicaid agencies, health plans, and providers, the听collaborative provides a platform to:听
- Learn from peers across states and sectors听
- Access emerging policy and implementation insights听
- Align local strategies with national priorities in crisis care听
As听crisis system transformation accelerates, coordinated efforts like this听one听will be essential to sustain momentum and improve outcomes.听
In the coming months, NAMI and 红领巾瓜报 will engage key听interest-holders听and experts to听identify听and elevate the urgent needs in crisis response and ensure alignment on shared outcomes to improve crisis systems.听Public and private organizations听interested in improving behavioral health crisis听systems are encouraged to engage with the听.听
For more information on 红领巾瓜报鈥檚 work in Crisis services, contact鈥�Monica Johnson, Managing Director, 红领巾瓜报.听
Michigan Health Policy Conference 2026: Medicaid, OBBBA, and State Budget Impacts
Michigan听is preparing for significant Medicaid and budget changes under the 2025 federal听budget听reconciliation law (P.L.听119-21,听OBBBA), with more than 200,000 residents at risk of losing听healthcare听coverage. At the 2026 Michigan State of Reform Conference, state leaders and stakeholders highlighted implementation challenges, fiscal pressures, and strategies to听maintain听access to care.听
On听May 5,听2026,听听(SOR), an 红领巾瓜报听Company,听hosted听its听annual听, bringing together over 200 interest-holders, including providers, policymakers, and community-based organizations to examine how Michigan is adapting to rapid change and implementing new federal requirements.
The听conference听fostered candid听discussion听of听the implications of the 2025 federal budget reconciliation act听(P.L 119-21, OBBBA),听with a particular focus on community engagement requirements,听behavioral health,听Michigan鈥檚听budget听outlook, and the听Rural Health Transformation Program听(RHTP).听
Michigan DHHS鈥檚听Top Health Policy Priorities in 2026听
The day opened with a presentation from听Meghan Groen,听Chief Deputy Director of the听Michigan Department of听Health听and Human Services (DHHS).听Ms.听Groen听shared her听department鈥檚听priorities and听strategies,听including听implementation听of听OBBBA听requirements听and听RHTP.听听
Medicaid community engagement听requirements and six-month eligibility redeterminations听are the most immediate听operational听challenges听for DHHS.听Michigan听also is听advancing a set of readiness activities, including internal听assessments, coordinated planning,听leadership alignment, and regular communication with the Centers for Medicare & Medicaid Services (CMS).听
Another top priority Ms. Groen identified was expanded access to behavioral health. In a discussion focused on programmatic changes in behavioral health, panelists听discussed how Michigan is using multiple tools, including Certified Community Behavioral Health Centers (CCBHCs), crisis stabilization units, and psychiatric residential treatment facilities (PRTFs), to address access gaps.听Panelists Kristen Morningstar, Director of Michigan鈥檚 Bureau of Specialty Behavioral Health Services and Robert Sheehan, Chief Executive Officer, Community Mental Health Association of Michigan,听shared how听DHHS continues to collaborate with behavioral health providers to听optimize听service delivery and better meet member needs.听
How OBBBA听Will听Affect Michigan Medicaid Coverage and听the听State Budget听
Across sessions, speakers鈥攊ncluding听Danielle Devine, Market President at McLaren Health Plan,听and听Jen Flood, Budget Director for the State of Michigan鈥攈ighlighted听how OBBBA is already reshaping Michigan鈥檚 Medicaid program and broader fiscal outlook.听These changes have听direct implications for听Medicaid financing and long-term planning and are a driver for the state鈥檚 $1 billion budget shortfall. Significantly, Michigan Gov. Gretchen Whitmer has recommended approximately $800 million in new taxes from tobacco and vaping to supplement the budget. The governor has also formed a working group of hospitals, health plans, providers, and other stakeholders to identify options for saving $150 million.听
DHHS projects听that more than 200,000 individuals听in Michigan听are听at risk听of听losing听Medicaid听coverage. Panelists discussed the downstream effects, including disruptions in care, a rising rate of uninsured residents, and increased financial strain on families and providers. Stakeholders shared concerns about increases in uncompensated care, food insecurity, and household debt.听
Panelists听emphasized听that navigating this environment will require close collaboration across the delivery system.听
How Michigan听Is听Using the Rural Health Transformation Program听
Amid the听broader changes in the healthcare landscape,听RHTP听is听emerging听as a key strategy for听sustaining and strengthening access to care in Michigan鈥檚 rural communities.听Speakers听such as听Lauren听LaPine-Ray, DrPH, MPH, Vice President, Policy听& Rural Health听at the听Michigan Health & Hospital Association,听emphasized听the importance of听aligning听financing strategies,听partnerships,听and听policy听levers to听optimize听the impact of these investments.听Michigan听has already听听RHTP funding to听multiple听entities听to听support听implementation听at the local level.听
Looking Ahead听
The challenges听that听Michigan听is听facing听are not unique,听and the need for shared insight and practical solutions is only growing.听
If听you are looking for听strategies听and听solutions听to address urgent healthcare policy and operational challenges, 红领巾瓜报 experts are available to help navigate these complex changes听and听identify听practical paths forward.听
红领巾瓜报 (红领巾瓜报), brings together听state leaders, providers, plans, and community organizations to surface real-world strategies for navigating federal change.听Join us in on May 21, 2026, or visit the to view the full conference schedule and register for an upcoming event.听
State of Reform develops its conference agendas through collaboration with 红领巾瓜报 subject matter experts/market leads and stakeholders across the public and private sectors, including state officials, community-based organizers, providers, payers, and more.听
Federal Policy News
Fueled By Weekly Health Intelligence
FDA Undergoes Major Leadership Transition Following Makary Exit
Last week, FDA Commissioner Marty Makary formally resigned from his role after leading the agency for 13 months. An unnamed White House official reportedly told Politico that HHS Secretary Robert F. Kennedy Jr. made the decision to remove Commissioner Makary.听, who听was serving听as the Deputy Commissioner for Food and Senior Counselor for FDA in HHS, has stepped in as Acting Commissioner, while the Administration seeks to identify and nominate听a permanent听replacement. While Mr. Diamantas does not have a medical degree, which recent FDA commissioners have had, he is a lawyer and previously represented Abbott in litigation after its infant formula recall. It has been听听that Mr. Diamantas has achieved a favorable rapport within HHS, the Make America Healthy Again (MAHA) movement, and among career staff at the agency, being viewed as a non-controversial pick to temporarily fill the听commissioner听role.听
鈥疌ommissioner Makary鈥檚 tenure at FDA鈥痺as marked鈥痓y significant leadership turnover, layoffs, and high-profile policy battles, such as the recent authorization of flavored vape products, which was听reportedly a听source of tension between the Commissioner and President Trump.听
鈥疶he President will need to nominate a candidate for FDA Commissioner, but the outlook for Senate confirmation is unclear, particularly since the Senate HELP Committee鈥檚 list of nominations to consider includes Surgeon General, CDC Director, and Assistant Secretary for Preparedness and Response. This is further complicated by the impending retirement of Senate HELP Committee Chair Bill Cassidy (R-LA) after his loss in Louisiana鈥檚 May 16 Senate Primary, whose position on these nominations from the President听remains听unclear.听
鈥疘n addition to the departure of Commissioner Makary, there were several other changes in FDA leadership last week, with the departure of Tracey Beth H酶eg, the Acting Director of the Center for Drug Evaluation and Research (CDER), who听听on social media that she had been fired on May 15. Following H酶eg鈥檚 departure, Acting Commissioner Diamantas announced that听, the Deputy Center Director of CDER, would be taking over as Acting CDER Director. Diamantas also announced听, a former Senior Advisor in the Office of the Commissioner, will serve as the Acting Director of the Center for Biologics Evaluation and Research (CBER). FDA had recently announced that Dr.鈥疜atherine Szarama would serve as the鈥疉cting鈥疍irector of CBER, following the departure of鈥疍r. Vinay Prasad.听
鈥疉dditionally, Lowell Zeta, the FDA’s Deputy Commissioner for Strategic Initiatives, will serve as Acting Chief of Staff, replacing former Chief of Staff Jim Traficant.听
HHS to Convene First Meeting of New Federal Healthcare Advisory Committee
On May 18, HHS听听hold the first meeting of the new federal听. According to the听, during the听initial听meeting, committee members will be introduced to the public, the committee will听establish听its听, and it will discuss committee working groups. Additionally, the meeting includes a 30-minute period for public comment. First announced in August 2025, the committee was created to听advise听Secretary Kennedy and CMS Administrator Oz on 鈥渨ays to improve鈥痟ow care is financed and delivered鈥� across CMS programs. The inaugural committee听听include healthcare executives, state health officials, and health technology innovators. Dr. Clive Fields, the co-founder and听previous听chief medical officer of听VillageMD, a value-based care platform, will serve as chair. The meeting will be held via a听听and听recorded, to be posted publicly.
CMS Revises ACA Marketplace Standards and Finalizes 2027 Exchange User Fees
On May 15, CMS听听the 鈥�.鈥� The final rule sets plan year 2027 user fee rates for issuers offering qualified health plans (QHPs) through Federally-facilitated Exchanges (FFEs) and State-based Exchanges on the Federal platform (SBE鈥揊Ps). For the 2027 benefit year, CMS is听finalizing听an FFE user fee rate of 1.9 percent of monthly premiums and an SBE-FP user fee rate of 1.5 percent of monthly premiums, which are lower than the current benefit year 2026 user fee rates and those initially proposed. Additionally, in the rule, CMS finalized several policy and technical changes to the ACA Marketplace, including those intended to implement certain provisions of the FY 2025 budget reconciliation law (), the stayed provisions from the听, and other Trump Administration policy priorities related to reducing improper enrollment and addressing the affordability of coverage in the individual market. This includes:听
- Codification of CMS鈥檚 September 2025 guidance expanding hardship exemption eligibility to individuals who are over 30 years of age and ineligible for APTCs or CSRs due to projected household income below 100 percent or above 250 percent FPL;听
- Expanded flexibility for issuers of catastrophic coverage to enroll individuals in multi-year plans with periods of up to 10 years;听
- Discontinuation of the 鈥渇ull suite of standardized plan option policies,鈥� including the requirements for FFE and SBE-FP issuers to offer standardized plan options, the requirement for these plans to meaningfully differ from one another, and the differential display of standardized plan options on HealthCare.gov and by approved web-broker and QHP issuer enrollment partners; and听
- Reversal of certain Marketplace policies听finalized听by the Biden Administration including the inclusion of 鈥渞outine non-pediatric dental services鈥� as an Essential Health Benefit (EHB) and certain reporting requirements related to issuers鈥� approach to health disparities.听
Though CMS issued a Request for Information (RFI) on the impact of the federal medical loss ratio (MLR) standard on insurance premiums in the individual market and market stability in the proposed rule, it did not make any changes in response to public comments. Rather, CMS noted that it will take these comments into consideration as it continues to 鈥渃onsider potential adjustments to the Federal MLR standard for particular States鈥� individual health insurance markets.鈥�听
鈥疉s a result of the rule, CMS estimates that average enrollment for 2027 will decrease by between 1.2 and听2 million individuals听from the baseline scenario, with enrollees either losing coverage due to no longer being eligible for subsidies and as healthier enrollees听discontinue听coverage.听
U.S. Restricts Travel From Central Africa Following Ebola Outbreak Declaration
On May 17, CDC issued a听听and held a听subsequent听听related to the agency鈥檚 response to an Ebola outbreak in听Ituri听Province, Democratic Republic of the Congo (DRC) and several cases in Uganda. The World Health Organization (WHO) has听听the outbreak as a public health听emergency of international concern (PHEIC), though听not听a pandemic emergency. CDC reports that there have been 10 confirmed cases, 336 suspected cases including 88 deaths in DRC, and 2 confirmed cases including 1 death in Uganda. In the CDC鈥檚 statement, the agency states that the risk to the American public remains low, while CDC offices in the DRC and Uganda are coordinating with the ministries of health and other international partners 鈥渢o support response operations, including surveillance, laboratory diagnostics, infection prevention and control, and other outbreak containment efforts.鈥� CDC also noted that it is supporting 鈥渋nteragency partners who are actively coordinating the safe withdrawal of a small number of Americans who are directly affected by this outbreak.鈥� On the May 17听听led by Captain Satish K. Pillai, the CDC Ebola Response Incident Manager, members of the press inquired about American individuals who may have been exposed, with one individual noting 鈥渢wo or three of those people may have had high risk exposure.鈥� Dr. Pillai declined to comment on the disposition of individuals. They also noted there is no FDA approved vaccine or treatment specifically for the Bundibugyo strain, but proactive supportive care and treatment of complications is an effective strategy for听optimizing听patient outcomes.听
On May 18, CDC and the Department of Homeland Security听听a 30-day restriction on entrance into the U.S. for non-US passport holders if they have been in Uganda, DRC, or South Sudan in the previous听21 days. In the announcement, CDC notes that this outbreak of Ebola disease is caused by the Bundibugyo virus and that the order will enable the U.S. government time to conduct a full assessment of risks and develop a 鈥渃omprehensive mitigation and containment strategy in consultation with other stakeholders.鈥�听
Additionally, on听听and听听media calls, CDC provided updates on the federal response to the Hantavirus outbreak on the M/V听Hondius听cruise ship and the effort to repatriate 18 passengers in the U.S. During the update, Dr. Bhattacharya said that the risk to the public remains 鈥渆xtremely low.鈥� The agency noted on the May 14 call that 41 total people across the U.S. are under monitoring including the 18 passengers being听monitored听at Nebraska and Emory centers. In addition to those 18 individuals, CDC is听monitoring听passengers who had already left the ship and returned home before the outbreak was听identified, or who may have been exposed on flights where a symptomatic case was present. These individuals will be听monitored听over a 42-day period.
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State Policy News
Arizona Medicaid to Launch AI Fraud Detection Tool in July
KJZZ Pheonix鈥�鈥痮n May 15, 2026, that Arizona will launch an artificial intelligence tool in July 2026 to review medical records before paying Medicaid claims, with the goal of detecting fraud, waste, and abuse in the Arizona Health Care Cost Containment System (AHCCCS). The governor鈥檚 office said the tool will rank听submitted听claims by fraud and waste risk, while AHCCCS Inspector General Venessa Templeman emphasized that flagged claims will still receive human review.听
CMS to Defer $1.3 Billion in California Medicaid Payments Over Fraud Concerns
The Los Angeles Times鈥�鈥痮n May 13, 2026, that the Trump administration will defer听$1.3 billion听in Medicaid reimbursements to California over fraud concerns. Centers for Medicare & Medicaid Services (CMS) Administrator Dr. Mehmet Oz also announced a six-month鈥�鈥痮n new Medicare enrollment for hospices and home health agencies, citing widespread fraud in the Los Angeles region, and said CMS had shut down 800 providers that billed听$1.4 billion听last year. California officials, including Governor Gavin Newsom鈥檚 office and Attorney General Rob Bonta, pushed back, arguing the actions are politically motivated and could harm programs that help seniors and people with disabilities remain in their homes.
Indiana Receives Federal Approval for Revised Hospital Assessment Fee, State Directed Payment Programs
The Indiana Capital Chronicle鈥�鈥痮n May 15, 2026, that Indiana has received approval from the Centers for Medicare & Medicaid Services (CMS) for both a revised Hospital Assessment Fee program and a State Directed Payment program. The hospital assessment fee, which is retroactive to July 1, 2025, ties Medicaid reimbursement increases to average commercial prices, incentivizing hospitals to lower their prices to receive higher Medicaid payments. The State Directed Payment program will distribute approximately听$1.9 billion听in supplemental Medicaid payments next year across hospitals听participating听in Medicaid. Both programs are part of a broader effort to address healthcare costs and rapid Medicaid spending growth.
Ohio Governor Announces Medicaid Fraud Oversight Initiatives
Cleveland.com鈥�鈥痮n May 13, 2026, that Ohio Governor Mike DeWine announced multiple initiatives meant to strengthen Medicaid oversight and听eliminate听fraud, waste, and abuse. The new measures including requesting permission from the Centers for Medicare & Medicaid Services (CMS) to issue a six-month moratorium on new home health and hospice providers, immediately suspending payments to providers flagged as 鈥渉igh-risk,鈥� mandating GPS verification of all electronic visit verification (EVV) home health providers, and requiring live-in caregivers to use EVV. DeWine also intends to release an executive order requiring Ohio鈥檚 Medicaid program to revalidate听high risk听providers more听frequently.
Wyoming Receives Federal Approval for Updated RHTP Plan
Wyoming Governor Mark Gordon鈥�鈥痮n May 19, 2026, that the state has received approval from the Centers for Medicare & Medicaid Services (CMS) for its updated Rural Health Transformation Program (RHTP) application that it听submitted听in early May 2026. Wyoming was awarded $205 million for the first year of RHTP. The state now has until October 31, 2026, to听obligate first year funds and one year to spend the funds. Future funding will be based on Wyoming鈥檚 approved plan and performance.
Private Market News
Fueled By
New ACA Marketplace Report Uses Wakely鈥檚 Premium Analysis
On March听19,听KFF听published听听that听draws on data from the鈥�Centers for Medicare & Medicaid Services鈥�鈥痑nd state-based Marketplace (SBM) Open Enrollment reports, as well as KFF survey data and individual market enrollment estimates from鈥�.听KFF鈥檚 report听examines听early indicators of how the听expiration听of enhanced premium tax credits has affected effectuated enrollment levels (i.e., enrollment among people who have paid their premiums), plan selections, and out-of-pocket costs in 2026.听The average Marketplace deductible grew by about $1,000 per person in 2026, with more enrollees shifting to higher-deductible bronze plans as the ACA鈥檚 enhanced tax credits expired.
Trump and Kennedy Seek to Relax Safeguards for AI Healthcare Tools
There is an emerging policy shift toward听听in healthcare through reduced regulatory barriers, while there are ongoing questions about how best to preserve safety, privacy, and oversight as use expands. This policy debate is a balance between encouraging innovation and听maintaining听safeguards for patients and clinicians.
Our Insights
Fueled By Experts Across Our 红领巾瓜报 Companies
红领巾瓜报
Expanding School-Based Behavioral Health Access for Children
As schools increasingly serve as the venue where many children and families first access Behavioral Health supports, 红领巾瓜报 has worked with cross-sector partners to align roles and coordination practices so students experience timely referral and smooth handoffs to community-based and clinical services鈥攅specially in rural and smaller counties. This work is relevant to behavioral health professionals working in schools, county and state agencies, and clinical settings who are strengthening prevention, early intervention, and referral pathways for children, youth, and families ages 0鈥�25.
Landscape Assessment and Gap Analysis of School-Based Primary Care and Behavioral Health for Medicaid-Eligible Youth
红领巾瓜报 (红领巾瓜报) completed the first-ever integrated view of the pediatric behavioral health system in New Orleans, spanning school-based health centers/clinics, community providers, and facility-based care鈥攁nd translating findings into practical options to improve access, care navigation, and crisis stabilization for Medicaid-eligible youth. For behavioral health professionals working in schools, state agencies, and clinical settings, the assessment produced an actionable picture of where the system breaks down鈥攁nd where investments and operational changes can measurably improve access and outcomes for Medicaid-eligible youth and听public school听students.听
2026 Maryland State of Reform Health Policy Conference | May 21, 2026
The 2026 Maryland State of Reform Health Policy Conference will be taking place in-person on May 21st,听2026听at the Baltimore Marriott Waterfront! Managing constant change in healthcare takes more than听just hard听work. It takes a solid understanding of the legislative process and knowledge about听intricacies听of the healthcare system.听罢丑补迟鈥檚听where State of Reform comes听in.
SAVE THE DATE: Fall State of Reform Health Policy Conference Dates Announced
State of Reform pulls together practitioners, thought leaders, and policymakers 鈥� each working to improve the healthcare system in their own way 鈥� into a unified conversation in a single place. These conferences are sure to be some of the most diverse statewide gatherings of senior healthcare leaders, and some of the most important events in state healthcare.
Join us for one of our fall events:
- September 3, 2026 – Southern California
- September 16, 2026 – Pennsylvania
- September 30, 2026 – Minnesota
- November 10, 2026 – North Carolina
- November 17, 2026 – Illinois
Registration Open: 红领巾瓜报 2026 Conference
Registration is open for 红领巾瓜报鈥檚 annual conference,鈥�US Healthcare 2026: Signals, Signs & Flashing Lights鈥擮ct 5鈥�7鈥痠n鈥疦ew Orleans. Join leaders from payers, providers, and the public sector to cut through the noise and focus on听飞丑补迟鈥檚听working to address financial pressures, performance expectations, and AI and听new technologies.听
红领巾瓜报 Conference 2026
Join Us for 红领巾瓜报鈥檚 National Conference US Healthcare 2026: Signals, Signs & Flashing Lights
RFP Calendar
RFP Calendar
| Date | State/Program | Event | Beneficiaries |
|---|---|---|---|
| Date: February 2026 - DELAYED | State/Program: Illinois | Event: Awards | Beneficiaries: 2,400,000 |
| Date: May 1, 2026 | State/Program: Nevada Children's Specialty | Event: Proposals Due | Beneficiaries: NA |
| Date: May 12, 2026 | State/Program: Nevada CO D-SNP | Event: Awards | Beneficiaries: 88,000 |
| Date: June 24, 2026 | State/Program: Wisconsin LTC GSR 3 | Event: Awards | Beneficiaries: 56,000 (all GSR) |
| Date: Summer 2026 | State/Program: Illinois Foster Care | Event: RFP Release | Beneficiaries: 33,000 |
| Date: July 1, 2026 | State/Program: Hawaii Community Care Services | Event: Implementation | Beneficiaries: 5,500 |
| Date: July 28, 2026 | State/Program: Nevada Children's Specialty | Event: Awards | Beneficiaries: NA |
| Date: August 2026 | State/Program: Indiana | Event: RFP Release | Beneficiaries: 1,400,000 |
| Date: January 1, 2027 | State/Program: Illinois | Event: Implementation | Beneficiaries: 2,400,000 |
| Date: January 1, 2027 | State/Program: Nevada CO D-SNP | Event: Implementation | Beneficiaries: 88,000 |
| Date: January 1, 2027 | State/Program: Wisconsin LTC GSR 3 | Event: Implementation | Beneficiaries: 56,000 (all GSR) |
| Date: January 1, 2027 | State/Program: Illinois Tailored Care Management Program | Event: Implementation | Beneficiaries: 22,400 |
| Date: July 1, 2027 | State/Program: Nevada Children's Specialty | Event: Implementation | Beneficiaries: NA |
| Date: January 1, 2028 | State/Program: Wisconsin LTC GSR 4,6 | Event: Implementation | Beneficiaries: 56,000 (all GSR) |
| Date: Fall 2027 | State/Program: Oregon | Event: RFP Release | Beneficiaries: 1,200,000 |
| Date: 2028 | State/Program: North Carolina | Event: RFP Release | Beneficiaries: 2,200,000 |
| Date: 2029 | State/Program: California | Event: RFP Release | Beneficiaries: NA |