
CMS Approves Louisiana Plan to Cover Medicaid Care Before Release
Louisiana won federal approval for a waiver that pays for addiction treatment and a 30-day medication supply before someone leaves prison, starting in 2027.
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Louisiana won federal approval for a waiver that pays for addiction treatment and a 30-day medication supply before someone leaves prison, starting in 2027.

Maryland-based R&S Holdings bought Innovo Detox, a 52-bed detox and residential facility in Abbottstown, adding medically supervised withdrawal to its network.
Indiana estimates 58,000 Healthy Indiana Plan members are not meeting the work requirements taking effect Jan. 1, 2027, and officials call the number rough.
A state performance audit found all 100 sampled Medicaid opioid treatment claims missed at least one requirement and flagged $875,696 in overpayments.
Missouri will not adopt federal short-term hardship exemptions from Medicaid work requirements starting Jan. 1, 2027, citing existing medically frail and caregiver pathways.

A JAMA Network Open analysis of 229,847 young Medicaid enrollees finds only half start opioid addiction treatment and just 3.1% stay on medication past 180 days.

Federal officials cleared Maine's Whole Person Care Waiver, letting MaineCare cover reentry services up to 60 days before release from jail or prison.
Across 234,944 Medicaid opioid-related encounters, 14% filled buprenorphine within 30 days, and Black and Hispanic patients were least likely to start or stay on it.
Montana begins enforcing Medicaid work requirements October 1, requiring nearly 71,000 enrollees to document 80 hours a month or prove a medical-frailty exemption.

Colorado Medicaid officials are weighing cuts to peer recovery coaching after spending on self-help and peer services rose 286% from 2022 to 2024.

A nationwide analysis of 1,218 opioid treatment programs finds that higher patient retention correlates with lower hospitalizations, ER visits, and mortality.

Urban Institute analysis: Medicaid-covered buprenorphine fills rose from 936,000 in 2010 to 8.2 million in 2025, gains now threatened by federal Medicaid cuts.
Health policy groups urge CMS to increase transparency for the $50B Rural Health Transformation Program as states prepare to submit first progress reports.

Washington D.C. plans to use $7.8 million in opioid settlement funds for Medicaid and existing programs, prompting protests from advocates who say this violates 'supplement not supplant' law.

Washington, D.C.'s fiscal 2027 budget shifts millions in opioid settlement funds to Medicaid and existing treatment programs, prompting supplantation accusations.

HHS Secretary Kennedy toured a Southside Virginia addiction rehab facility while promoting the $50B Rural Health Transformation Program amid Medicaid cuts.

DOJ secures $16.2M judgment against Addiction Recovery Care, Kentucky's largest rehab chain, for years of false Medicaid billing.

Oregon, Rhode Island and Michigan have shelved plans to start Medicaid before release from jail, and only four of 19 approved states have programs running.

Nebraska will require Medicaid expansion enrollees to work 80 hours monthly, raising concerns about addiction treatment access for vulnerable populations.

New JAMA Network Open study shows MOUD access among Medicaid beneficiaries rose from 60% to 69% between 2019-2023, with 45 states seeing increases.