Policy, Readiness, and What It Means for Your Programs
Analysis of the federal policy shaping Medicaid and the practical steps states
are taking to prepare — written for the people who run these programs.
featured
From Policy to Practice: What MESC Made Clear About Medicaid Community Engagement
Read the Post
Latest Posts & Topics
Prepared by our policy, security, and compliance experts.
Why Hardcoding Work Requirements into Your IES Could Cost States Millions
As states move from debating Medicaid work and community engagement requirements to actually implementing them, one question keeps coming up in CIO and Medicaid Director conversations: “Should we…
Read
Building Trust Through Verification: How States Can Implement Medicaid Work Requirements Fairly and Efficiently
As states prepare to implement Medicaid community engagement requirements under H.R. 1 (2025), the focus is shifting toward technology, fairness, and program integrity. Beginning January 1, 2027,…
Read
What’s really happening (last 5 years) — the KPIs
Rogue brokers exploiting ACA enrollments 183,553 complaints of unauthorized enrollments were logged by CMS Jan–Aug 2024; CMS resolved 99.75% of them, with an average ~52-day cycle time. CMS also…
Read
Stop Fraud, Waste, and Abuse Where It Starts: Rogue Brokers and Ineligible Enrollments
Fraud, waste, and abuse (FWA) doesn’t begin with a billion-dollar indictment; it starts at the front door—when a rogue broker flips a plan for commission, when income is “estimated” to force a…
Read
Recapping the 2025 NAMPI Conference: Collaboration, Oversight & Innovation in Medicaid Integrity
The 2025 National Association for Medicaid Program Integrity (NAMPI) Conference wrapped earlier this week, and it was nothing short of inspiring. Hosted in the heart of Texas, this year’s event…
Read
MESC 2025: Medicaid Work Requirements at the Forefront
Key Takeaways for Government Agencies Modernization is urgent. Legacy eligibility systems cannot handle OBBA’s new work and exemption requirements. States need configurable, compliance-ready…
Read
New to NIST or ARC-AMPE? Our Glossary Explains the Terminology in Plain Language
Stay current
Get Federal Regulatory Updates
in Your Inbox
A periodic briefing on the policy shaping Medicaid programs — no noise, just what your team needs to know.
Where to next
Related Paths
Community Engagement
Explore Verify
One Modular platform for community engagement, eligibility verification and program identity.
Protect Program Integrity
Reference
Glossary
Plain-language definitions for the terms that come up in these updates.
Open the Glossary
Resources
Resource Hub
Procurement documentation, compliance details, guides, and more.
Browse Resources