·Pulse issue · June 14, 2026
Ohio split its Medicaid crackdown in two this week, suspending payments to 49 home-care providers it called suspicious while dropping the part of the same bill that would have stopped paying family caregivers, as CMS held a national work rule expected to cost coverage.
Ohio suspended Medicaid payments to 49 home-care providers and mirrored a federal moratorium while stripping a family-caregiver pay ban, as CMS held the Medicaid work rule's January 2027 deadline.
3 briefs · 3 cited sources
Questions this issue answered
- What enforcement action did Ohio take against home-care providers, and how far could it spread?
- Why did Ohio lawmakers drop the ban on Medicaid pay for family caregivers?
- Is CMS giving states more time to implement the Medicaid work requirement?
- Who absorbs the cost when a work rule reaches home-care patients and the families who care for them?
Briefs in this issue
Ohio Stops Paying 49 Home-Care Providers It Calls Suspicious
The state suspended Medicaid payments over billing patterns and mirrored a federal moratorium, days after dropping a ban on paying family caregivers.
PolicyWorkforceDisabilityChild CareElder Care
CMS Won't Move the Medicaid Work-Rule Deadline
Home-care groups warned of coverage losses. The agency signaled no retreat, expecting 15% disenrollment ahead of the January 2027 compliance date.
PolicyElder CareDisabilityChild Care
Ohio Caregivers Testified Twice to Keep Their Medicaid Pay
Disabled Ohioans and relatives told lawmakers what losing paid family caregiving would cost their households, and the provision came out of the bill.
PolicyElder CareDisability
Reference paths