Week of Noveber 3, 2026

Medicaid Reconciliation Law (HR 1): Work and Community Engagement Requirements: CMS Interim Final Rules – U.S. District Court Vacates Part of the Medical Frailty Rule – Massachusetts vs Oz

Links to Judgment; Order; and Opinion are here:

Medicaid Reconciliation Law (HR 1): Work and Community Engagement Requirements: CMS Interim Final Rules – U.S. District Court Vacates Part of the Medical Frailty Rule – Massachusetts vs Oz – Part 2 – Toolkit on State Decisions

Medicaid Work Reporting Requirements After the Medical Frailty Ruling: State Decisions and Implementation Priorities –  Driving Innovation Across States toolkit; State Health and Value Strategies (SHVS) Mass vs Oz decision tool kit on state decisions -October 30.

Home-and-Community-Based Services (HCBS): How States Are Shaping Policies and Programs

How States Are Shaping Home- and Community-Based Services report; National Conference of State Legislatures (NCSL) – October 15.

The Value of Home-Based Personal Care Services (1)

Home-Based Care Is Essential Infrastructure and a Measurable Value Driver white paper; Health Management Associates wite paper – October 16.

The Value of Home-Based Personal Care Services (2)

The Value of Home-Based Personal Care Services webinar replay and materials; Health Management Associates – October 22.

Breaking Down Long-Term Services and Supports (LTSS) Silos: Building Infrastructure for Shared Care

To Break Down The Silos Of LTSS, Build The Infrastructure For Shared Care article; Health Affairs – October 22.

Medicaid Reconciliation Law (HR 1): Work and Community Engagement Requirements: CMS Interim Final Rules – Monitoring State Implementation

Medicaid Work Requirements: Monitoring State Implementation meeting webinar slides; Medicaid and CHIP Payment and Access Commission (MACPAC) – October 29.

Medicaid Reconciliation Law (HR 1): Work and Community Engagement Requirements: CMS Interim Final Rules – State Implementation

Panel on Medicaid Work Requirements: State Implementation meeting webinar slides; Medicaid and CHIP Payment and Access Commission (MACPAC) October 29.

Persons Dually Eligible for Medicare and Medicaid: Special Needs Plans (D-SNPs) – Access

Full-Benefit Dually Eligible Individuals in Medicare Advantage Special Needs Plans meeting slides; Medicaid and CHIP Payment and Access Commission (MACPAC) – October 30.

Dual Eligible Special Needs Plans (D-SNAPs): State Medicaid Agency Contracts: Reporting and Transparency Requirements

Dual Eligible Special Needs Plans (D-SNP) State Medicaid Agency Contract Toolkit: Reporting and Transparency Requirements for State Medicaid Agency Contracts (SMACS); Justice in Aging – October 21.

Consider: Federalizing State Medicaid Payments for Medicare Premiums and Cost Sharing

It’s Time to Consider Federalizing State Medicaid Payments for Medicare Premiums and Cost Sharing opinion article; | Milbank Memorial Fund – Milbank Quarterly – September 17.

Medicare Billing Codes for Behavioral Health Integration

Advancing Integrated Behavioral Healthcare Billing webinar recording; Health Resources and Service Administration (HRSA) and National Council for Mental Wellbeing (NCMW) Center for Excellence for Integrated Health Solutions for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) – September 15.

Identifying Opportunities Within Health Centers with the Certified Community Behavioral Health Center Model

NACHC Online Series: Identifying Opportunities for Health Centers within the CCBHC Model 4-part learning series announcement; –Rise 360 – National Association of Community Health Centers (NACHC) – October 28.

Behavioral Health Integration: Collaborative Care and Practice Transformation – North Carolina

Behavioral Health Integration in Action: North Carolina Accelerates Collaborative Care Adoption Through Practice Transformation Supports blog; National Academy for State Health Policy (NASHP) – October 16.

Affordable Care Act (ACA) Exchanges: CMS Pre-Eligibility Verification Proposed Rule

Exchange Pre-Eligibility Verification Proposed Rule (CMS 9873-P announcement with October 23 fact sheet; Centers for Medicare & Medicaid Services (CMS)– October 26.

Health Care Fraud, Waste, and Abuse

The Alliance for Health Policy Releases New Reports and Policymaker Resource to Guide Education on Fraud, Waste, and Abuse report and resources; Alliance for Health Policy – October 24.

Health Care Fraud: HHS-DOJ Self-Disclosure Pilot Program

Department of Health and Human Services and the Justice Department’s Civil Division Announce Anti-Fraud Healthcare Self-Disclosure Pilot Program press release; Health and Human Services (HHS) – October 22.

The Importance of Disability Data in Local Public Health

Disability Data Fact Sheet 2026; U. S. National Association of County and City Health Officials (NACCHO) shared August fact sheet – October 27.

Quality Measures: AAHD Priority Topics to NCQA

Quality Measures: AAHD Priority Topics list provided to NCQA – AAHD shared with the National Committee for Quality Assurance (NCQA)  Consumer Advisory Council – October 29 meeting.

Measurement-Based Care: Return on Investment

The ROI Of Implementing Measurement-Based Care webinar and resources; National Council on Mental Wellbeing (NCMW) sponsored Greenspace webinar – October 1.

Mental Health Clubhouses: Key Characteristics and Snapshot Views

Program for Clubhouse Research (PCR) web-based evidence based resources – University of Massachusetts – Implementation Science & Practice Advances Research Center (ISPARC) and Department of Psychiatry– shared October 9.

Mental Health Clubhouse Model – Complementing Supportive Housing

The Clubhouse Model: How Clubhouses Can Complement Supportive Housing paper; National Center for Housing and Health – October 6.