I just got this link texted to me. I've heard that other states have a list of illnesses that will give you an exemption to this 80 hours per month. Does Michigan have anything like this?

https://www.medicaid.gov/renew-info/MI

Just saw the news about the freeze on funding, my whole family relies on Medicaid. Does anyone know when this will go into effect?

https://www.mprnews.org/story/2026/07/21/fraud-cited-as-trump-administration-puts-another-freeze-on-medicaid-funds-to-minnesota

Hello, has anyone received a semiannual review only for Medicaid in Pennsylvania for a family of 4 with children included?

HHS Secretary RFK Jr. says CMS is withholding $867M from California and $200M+ from Minnesota, citing suspected fraud and noncompliance. It's a payment deferral, not a permanent cut — both states can submit documentation to get funds released.

• California: review focused on in-home care programs, after CMS flagged spending growth well above national trends
• Minnesota: review covered 14 high-risk service areas, including providers previously flagged in program integrity reviews

Newsom and Walz both call it politically motivated retaliation. Curious what people closer to the program side are seeing. Is this consistent with known fraud patterns in these programs, or does it look more like a political target list?

https://www.reuters.com/world/us-health-secretary-kennedy-says-cms-is-pausing-medicaid-payments-california-2026-07-21/

(Reuters is paywalled for some — CBS News has an open mirror of the story: https://www.cbsnews.com/news/medicaid-payments-california-minnesota-fraud-hhs/)

I work almost exactly 20 hours per week. I am an independent contractor. I don’t make an hourly wage. I don’t get paid the same for every client. I get a percentage of insurance reimbursement rates once they are paid to the org I work under and they are perpetually delayed by 3-8 weeks. I make about 12k per year gross.
What is going to happen if I get sick? Which I do, often, with bladder infections. (Menopause) when they flare I’m out for 2
weeks sometimes.
Will I get kicked off my insurance? Becuase they are making us go back 3 months of work to prove we worked. What about vacation? What about when our orgs are closed for the holidays? Does anyone have any idea what is going to happen? I’m so scared. I have a specialist for my urology issues and I take medication daily to prevent bladder infections but they still flare 3-4 times a year. If I flare and can’t make my hours I don’t know what I’m going to do. I won’t be able to afford a doctor visit and my medication.

Hey, I have a question: I have a small ABA practice. Maryland Medicaid now wants us to put referring doctors NPI in the claims to be able to bill after July 1st.

I just figured out that the last preauthorisation I got was justified by an assessment from 7.2024(the client was 4 y.o. back then, non verbal w/ dangerous behaviors). I still got preauthorised though and have an opportunity to bill until the end of august.

Am I screwed in case of an audit? Or since I got the preauthorisation(they request the copy of the assessment report)I’m ok?

Recently I updated my status on the FL website. What I got back shocked me. The vehicles we own were re-valued. I know what I paid for each, and that was 10 years ago. Now they are valued at 25-40% higher than I reported them.

Bank accounts. At the time I did my update, I had $80 in my checking account. Without my knowledge, my husband spoke to his mum in England, who then sent a wire transfer of what remained of his father's death payout. His father died of work related injuries and left him a small amount of money for a rainy day. It was under $3k. But just as the wire transfer happened, an app crawled through my finances leaving me with even less cash per month.

Let me explain about the wire transfer. It wouldn't cover cremation if one of us dies. Some of you spend more on rent per month.

Combined assets are what? 5k per month? They just jacked me up over the limit. How do I prove each thing, line for line? I have 30 days to figure this out and no idea where to turn.

Can I upload pictures of my vehicles? Kelly Blue Book the VINs?

Smh

Hello all, how do you calculate income for self employed partner and W2 for myself? Trying to get my baby's on Medicaid again, but i did not understand the Social worker really good due to language barrier this morning. i am in the state of Texas

I was approved for medicaid at the beginning of this month (07/06) and received a letter with two cut-out paper cards that I am supposed to sign and carry with me, but they only have basic info on them including my case number and a billing number. I have yet to receive anything else from my state, like an actual insurance card like I had a few years ago when I had received benefits. Am I missing something? I will be calling my JFS office in the morning, but was wondering if I just misunderstood something or am not reading a notice properly. Any insight is appreciated; thanks!

Hello, my mom is currently in the Pace program, but we are having a hard time finding her Medicaid memory care facilities. I read about the transitions waiver/mi choice . If I apply for this, could I possibly lose benefits /ovelap and is it worth the risk?
Thank you for your time to read my post and any insight☮️

Hi there! I work as an RBT in Utah. I just learned about the Medicaid requirements of those providing ABA to those with ASD to be registered behavior technicians. I worked at a clinic where I know unregistered BTs (still working on 40 hour training, not yet BACB certified as RBTs) saw clients who used Medicaid. Is there some billing loophole that allows for this? Or a way for clinics to pay without billing insurance or something? I'm guessing no and that this would be fraudulent, but I also don't have a good understanding of billing/insurance.

Hello, I am posted in hopes someone will be able to give me some information on getting assistance for my sister in law who was employed at a local casino for over 25 years, she’s 61 years old & owns her house with her ex husband & currently lives with her adult daughter & her three grandchildren in her house. Going on 17 weeks ago she went in for brain surgery after having a seizure unexpectedly & finding out she had a brain tumor. After this surgery her she was faced with many more complications. At this point her medical is only claiming to cover her rehabilitation for 45 days & after being in bed, not being able to eat, talk, or move her legs, we just don’t feel like this is realistic at this time. Our family feels she’s going to need extensive therapy & rehabilitation but her main stressor seems to be if applying for Medicaid/SSDI will have to sell her house because they of course want to make sure you liquidate all of your assets? Does anyone know if this is something that we need to worry about. We are not looking for any handouts, she has been a hard worker her entire life, she doesn’t have money in the bank or multiple homes, she lives a very simple life. I feel like this is crazy that this is our main priority when we are just hoping to get her back to herself & eventually hopefully be able to get her home & if possible get her live her normal life. Any information would be appreciated!

Hi, I’m unable to find reviews for the professionals listed on the site for my MCO (Carefirst Community Health) and am a little concerned. I couldn’t find many of them on the Internet either. Is there a platform where we can view/post reviews of professionals from Medicaid/partnered MCOs? Is a third party reviewing platform even legal?

I’m looking into Medicaid assistance through the state of Missouri for my wife (33yo female), my son (8yo male), and my daughter (5yo female). We are also planning to have a third child at some point in 2027.

I currently have insurance through my full time job but, I am unable to financially afford to put my entire family on my work insurance while also trying to meet our monthly finances.

My wife is unemployed and she is a stay at home mom. Her and my children do not have any disabilities, or chronic medical issues, and neither my wife nor I are former military.

I’m trying to read through the Missouri Medicaid income eligibility charts and I’m likely over thinking this but I’m having a tough time figuring out the calculations; as well as which program type my family would fall into.

What is the financial cut off for a family of 4 in regards to either gross or net annual/monthly income? What about for a family of 5?

Any help or info at all is much appreciated.

Thank you!

I moved to California in February and wasn’t able to get Medi-Cal coverage until May, so I went months without consistent psychiatric care. I have bipolar disorder and take a mood stabilizer, an anti-anxiety medication, and Vraylar. I’ve been on Vraylar for about four years after my psychiatrist in New York prescribed it, and it’s been a stable part of my treatment ever since.

I’ve had Medicaid in both New York and Colorado, and getting Vraylar covered was never an issue. I know it’s an expensive brand-name medication (over $1,000/month without insurance), but Medicaid always covered it.

Now that I’m on Medi-Cal, it’s been an absolute nightmare. I’ve gone through four different psychiatrists, and every one of them says they’ve submitted the prior authorization. Meanwhile, multiple pharmacies (Capsule and others) keep telling me they either never received it or that it’s still not approved.
I’ve now been without Vraylar for five weeks. I’m spending hours going back and forth between doctors, pharmacies, and my insurance with no answers, and my mental health is starting to unravel. I even went to Exodus Mental Health last week because I was feeling suicidal, and even they haven’t been able to get this sorted out. It’s been a week since that visit, and I still don’t have my medication.
Has anyone dealt with this in California, especially with Blue Shield Promise Medi-Cal? Is there a way to get a continuation-of-care medication approved faster or escalate a prior authorization that’s been stuck for weeks? Who is actually responsible when the doctor says they sent the PA, the pharmacy says they don’t have it, and nothing moves?

If anyone has specific advice, contacts, or departments (member services, grievance, case management, ombudsman, etc.) that actually helped resolve something like this, I’d be incredibly grateful. I honestly don’t know what else to do.

Is it true that recently home aid agencies are not allowing to give home aids overtime through medicaid? My mom has Alzheimer's and the agency keeps sending different aids. My mom needs someone consistent. When I ask for one and the same person to come they say that the aids are already maxed at 40 hours and medicaid does not cover overtime. They are also saying that there is shortage of aids due to summer vacation and work visas being denied. Is my agency just not willing to work with me or is it like that everywhere?

I am a U.S. citizen and I am considering sponsoring my parents for a U.S. green card so they can come live with me in Massachusetts.

My dad has income from his retirement pension + investments in Brazil. My mother has no income whatsoever. They are both 73 yeas old.

Would any of them be eligible for MassHealth?

So my last job terminated my Payroll Services account before I could access the last of paystubs and they said “only YOU can access your own paystubs, and that we have no access to your account” so now Keystone First needs my last paystubs but I can’t access them and my last employer “doesn’t have them”. What else can I do to provide my last “paystubs” to keystone first even though the school I worked for and I don’t have them?

I’ve had famis for my kids for several years. I’m still confused on how they figure qualifications. I submit stubs from myself and husband in Feb typically at renewal. Are they looking at the previous year taxes or just the one month to figure it? We are always below yearly but as a substitute my pay varies and they have denied me on it because Feb was high even though under for the year. I
Now make sure to keep
It low in Feb since it’s confusing for them.
Do they actually pull taxes for everyone on my caseload to check? Or just check stubs for one month?

I submitted a renewal April 1st and it still says it’s only been received and not even reviewed. I’m so frustrated. Now Ive applied for my son. How long until he’ll be insured? I need to know when he’ll be able to be seen. I hate this 🥲

the income limit is $22,025.

I made so far this year $21,702.59 & $0.00 for this month.

I was collecting unemployment in June 2026 & I stopped UI in July to qualify for Medicaid.

can the uncollected unemployment count in my income?

I've been waffling with applying for disability. There are many reasons why, but one of them is that I am worried about a change in my insurance. I feel like my insurance is really good right now, I rarely run into a provider who doesn't take Medicaid. That being said, I'm worried about the differences between the two programs. Is there any functional difference between being on these two different types of Medicaid?

So if I work 26 hrs per week at 15.30 per hour, can I qualify I Ohio?

Am I doing the calculation right?
26 x 15.30 x 4.3 =1,710.54

If I am able to work more hours some months, can I make a traditional IRA contribution to adjust the MAGI down? How would I report that? Would I need to make a contribution every month instead of just making one big contribution at the end of the year like I’ve been doing in the past?