Medicaid Information

As RCPA continues to advocate for protecting Medicaid from devastating cuts at the federal level, we are providing you with resources to help you navigate these changes and their effects on your organization.

Stethoscope beside a chalkboard label reading “Medicaid” on a wooden table
By Emma Sharp May 14, 2026
Title: HR 1 Eligibility Redeterminations: New Requirements, Timeline and Recommendations Date/Time: Tuesday, May 19, 2026 | 1:00 pm ET  Registration Link Last summer, HR 1 was passed by Congress and introduced significant changes to the Medicaid program. Among the many provisions of the bill that impact Medicaid was a directive to increase the frequency of program eligibility redeterminations for certain enrollees, from once every twelve months to once every six months. This webinar will explore this provision of HR 1 and its potential ramifications for both states and providers, along with recommendations on how states, behavioral health organizations, and state partners can best prepare themselves for these changes, including: Discussion of the new requirements, including additional guidance issued by the Centers for Medicare and Medicaid Services (CMS) on March 6. Walking through the timeline for implementation and relevant decision points that states will need to make along the way. Discussion of recommendations for maintaining coverage for as many individuals as possible, while ensuring workforce and technical capacities remain strong. Register for the webinar here . Please contact RCPA Policy Specialist Emma Sharp with any questions.
Blue lightbulb logo with yellow/orange rays and text: “POWER IN PURPOSE Promoting Possibilities RCPA 2026”
By Sharon Militello May 13, 2026
Power in Purpose at the 2026 RCPA Conference! The RCPA 2026 Annual Conference, Power in Purpose: Promoting Possibilities, will take place from September 29 – October 2 at the Hershey Lodge. This conference is consistently a landmark event for the Pennsylvania behavioral health, brain injury, children’s, early intervention, intellectual and developmental disabilities, medical rehabilitation, and physical disabilities and aging provider communities. Several popular speakers are participating this year, including: Dave Raymond, the "Hero of Happiness" — Author, international keynote speaker, thought leader, and the original Phillie Phanatic. Judge Victor Reyes — Renowned facilitator of discussions on self-respect, self-compassion, domestic violence, and leader of yoga/mindfulness classes. Jennifer Lynn Robison – Lifestyle and communications expert, TEDx speaker, media contributor, and traumatic brain injury survivor/advocate. Ed Krow — Talent Transformation Expert on understanding the employee/employer dynamic, achieving talent and culture transformations, and turning negative growth into success. Connections Hall In addition to the Connections Hall activities, there are many networking opportunities throughout the conference. Exhibitors will also have the chance to compete for "Best of Show!" Sponsor and Exhibitor Opportunities Our conference is privileged to have the support of the finest organizations in the field. Contributing organizations are honored by RCPA through sponsorship circles. View our Sponsor/Exhibitor/Advertiser brochure , for the opportunity of name recognition and exhibitor booth self-selection (with completed contract and payment). Sponsorships and exhibit booths are reserved on a first-come, first-served basis. The deadline to submit all materials and be listed on the website, mobile app, and in the conference program is Tuesday, September 8. Please contact Conference Coordinator Carol Ferenz with any questions. RCPA thanks these organizations that have committed their support to our 2026 Conference. You help make this conference an extraordinary, educational, and meaningful event for Pennsylvania's provider communities!
Clipboard with “MEDICAID” held by hands with a stethoscope, suggesting healthcare coverage.
By Jim Sharp May 11, 2026
RCPA Presents HR 1 Medicaid Summit
Medical supplies around a form labeled “MEDICAID,” including stethoscope, pills, and glasses
By Richard Edley May 8, 2026
Source: Becker's Hospital Review By: Alan Condon and Andrew Cass Thursday, April 30th, 2026 CMS is requiring all 50 states to audit Medicaid providers and submit detailed plans to the agency by May 23, with hospital leaders eager to understand both the scope and the limits of what’s being asked. CMS Administrator Mehmet Oz, MD, sent a letter April 23 to all state Medicaid directors directing them to develop and submit a comprehensive two-year provider revalidation strategy [read full article] . _______________________________________  View JDSUPRA's article on the same topic here .
People using a laptop to search resources on screen
By Fady Sahhar April 27, 2026
ADvancing States, in partnership with the National Association of State Directors of Developmental Disabilities and the National Association of Medicaid Directors, is excited to share a new infographic on the purpose, value, and impact of Medicaid HCBS. This resource includes an overview of key services, facts, and figures on HCBS utilization and spending, and trends and growth through rebalancing efforts. ADvancing States encourages members to use and share this infographic as a foundation for conversations about Medicaid HCBS. Use this link to view and download the infographic.
Medicaid text beside a stethoscope and pills on a desk
By Cathy Barrick April 17, 2026
The Office of Developmental Programs (ODP) has shared a reminder of the importance of supporting individuals in maintaining their eligibility for Medicaid and in verifying an individual’s eligibility for Medicaid prior to delivering services. Each month, the Office of Developmental Programs (ODP) generates an “MA Reapplications Due Soon” report for each Administrative Entity (AE) and Supports Coordination Organization (SCO). The report is uploaded to the internet version of DocuShare and can be found using the following path: AEs: ODP –> Division of Program Analysis –> Select Region Folder –> Select County/Joinder Folder –> County Dashboards Intellectual Disability/Autism (ID/A) SCOs: ODP –> Division of Program Analysis –> ID/A Supports Coordination Organization –> Select Region Folder –> Select the ID/A SCO Adult Autism Waiver (AAW) SCOs: ODP’s Bureau of Supports for Autism and Special Populations (BSASP) sends each SCO a monthly report of impacted individuals they serve for follow-up. Please note that AAW SCOs who are serving individuals whose MA is not coming due within the next four months will not receive a monthly report. Please view ODPANN 25-097 for additional details and information. Attachments: Medicaid Guide for Rep Payees of Participants Served by ODP Programs Keep Your Medicaid: A Helpful Guide for ODP Participants
Hands holding a smartphone displaying a digital calendar while using a pen to write on an open notebook.
By Jim Sharp April 10, 2026
On Monday, May 11, 2026, RCPA will be hosting a virtual H.R. 1 Medicaid Summit for all members, non-members, and stakeholders from 9:00 am – 10:00 am. This summit will feature guest panelists who will provide Federal and State updates on the implementation and impacts of the pending Medicaid changes. We will also explore the role of providers, advocates, and stakeholders in the process to ensure access and care for vulnerable Pennsylvanians. Register for the summit here . As part of the event, we will have a Q&A segment. If you have any questions you would like to ask during the Q&A segment, or if you have any general questions regarding the virtual summit, please forward them to RCPA Behavioral Health Policy Associate Emma Sharp .
The word
By Richard Edley April 1, 2026
Article by KFF Health News : Published March 31, 2026
Logo for National Council for Mental Wellbeing; text on a beige background.
By Sharon Militello March 11, 2026
From our partners at the National Council for Mental Wellbeing: As part of our ongoing efforts to assist you with implementation of H.R. 1, the National Council for Mental Wellbeing’s Policy and Advocacy Team is preparing a series of white papers on several of the bill’s Medicaid provisions. The first in this series is, “ H.R. 1 and the Impact of Medicaid Work Requirements .” H.R. 1 introduces significant changes to Medicaid, including new community engagement (work) requirements for Medicaid expansion enrollees. With implementation beginning in most states on Jan. 1, 2027, and state systems under pressure, we wanted to equip you with a clear, practical resource for navigating the new requirements. “H.R. 1 and the Impact of Medicaid Work Requirements” provides background information on the requirements delineated in H.R. 1, lessons learned from previous work requirement implementation efforts by several states, and recommendations for clinics and the Centers for Medicare and Medicaid Services (CMS) on best practices for implementation. We recognize that many of your organizations serve people who are most directly affected by these changes, including people living with mental health and substance use challenges who may qualify for exemptions under the law. While we await work requirements guidance from CMS, our goal is to make sure you have the most up-to-date information and tools available to help protect continuity of care for your clients. We hope this white paper serves as a helpful resource as you plan for implementation. Please don’t hesitate to reach out via email with any questions related to this resource or any other issues regarding H.R. 1.
Logo for the Centers for Medicare & Medicaid Services (CMS) featuring blue lettering and a yellow and blue swoosh.
By Tim Sohosky March 10, 2026
From our national partners at ANCOR: