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As of September 2026, 41 states — including Washington, D.C. — have adopted the Affordable Care Act (ACA) Medicaid expansion. Ten states haven’t. The expansion generally covers eligible adults up to 138% of the federal poverty level, subject to state and federal rules. But the map alone doesn’t tell you much about 2027. That’s the …
If you’re searching for the Maryland Medicaid Fee Schedule, you’re probably trying to do one of three things: figure out a reimbursement rate, make sense of a medical bill, or understand what Maryland Medicaid actually pays for a service you or a family member needs. Here’s the one thing to get straight before anything else. …
There’s no single price list here. Louisiana splits its Medicaid rates across multiple schedules, organized by service type and provider category. The number you’re looking for depends on four things: the procedure code, the provider type, the service category, and the date the service happened. Start with the Louisiana Department of Health’s Medicaid resources if …
The Kentucky Medicaid fee schedule isn’t one document. It’s a collection of state-published reimbursement schedules, each showing payment amounts or methodologies for a specific slice of covered services. Kentucky’s Department for Medicaid Services (DMS) keeps these split by provider and service category, and 2026 versions are already live for most of them. If you’re hunting …
The Iowa Medicaid fee schedule is Iowa Health and Human Services’ published system of payment amounts for covered Medicaid services and procedures. Rates shift depending on provider type, procedure code, modifier, payment method, and effective date — and the number sitting on that schedule isn’t automatically what a patient owes. For 2026, Iowa HHS runs …
Montana’s work requirement isn’t new in 2027 — it’s already running. What changes next year is how often DPHHS checks in on you. The Montana Department of Public Health and Human Services calls this a community engagement requirement, and for covered Medicaid Expansion adults, that generally means 80 hours of qualifying activity every single month …
The Indiana Medicaid Fee Schedule is an official Indiana Health Coverage Programs (IHCP) resource that shows reimbursement and coverage details for Medicaid services. It covers procedure codes, reimbursement amounts, coverage status, prior authorization requirements, modifiers, and billing limits. Before anything else, here’s something patients consistently get wrong: a fee schedule amount is not what you’ll …
The Kansas KanCare fee schedule tells you how Kansas Medicaid prices and reimburses healthcare services — but knowing a published rate is only half the answer. The real question most members are asking is: Will KanCare cover my service, and what am I actually going to pay? A fee schedule alone won’t tell you that. …
There’s no single New York Medicaid fee schedule with one number attached to every service. That’s the first thing to get straight. Different provider types, different procedure codes, different payment systems — and different effective dates depending on which one you’re looking at. The New York Medicaid Fee Schedule 2026 covers reimbursement for physician services, …
If you’ve heard that Florida Medicaid recipients need to log 80 hours of work per month starting 1st January, 2027, slow down for a second. That’s not quite what’s happening. A federal rule really does kick in on that date. But whether it touches you depends on a lot more than a headline suggests. Florida …