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Health Care Reimbursement Newsletter - January 2026

2026 is shaping up to be a pivotal year for health care reimbursement. From major CMS payment rules to evolving disclosure requirements, AI scrutiny, and mounting pressure on providers across the care continuum, the 2026...more

Colorado Limits Medicaid Coverage of Definitive Drug Testing

Key Takeaways - As of Oct. 10, 2025, Colorado Medicaid now limits coverage of definitive drug testing for adults 21 and older to 16 units per fiscal year....more

HCBS Update: Indiana Implements Home-Grown 70/30 Direct Caregiver Compensation Requirement

Executive Summary: On July 10, 2025, Indiana Medicaid issued guidance to providers of attendant care and structured family caregiver services requiring providers to pass through a specific percentage of their Medicaid...more

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