The Trump administration is imposing stricter financial tests on Medicaid waivers, potentially limiting states’ ability to use them to expand services and try new approaches.

If Medicaid funding is significantly reduced, states may struggle to afford providing the current scope of required benefits for older adults and adults with disabilities, much less optional Medicaid ...

Medicaid program integrity has become one of the most urgent challenges facing state agencies. CMS reported $37.39 billion in improper Medicaid payments in 2025 and recently identified 2.8 million ...