Projected Medicaid cuts eBook
Projected Medicaid cuts eBook
Get clear insights on projected Medicaid cuts and their impact on IDD services in our free eBook. See what’s changing, what it means for your agency, and how you can stay ahead. Enter your email to get started.
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What’s changing in 2025
What’s changing in 2025
To understand how to adapt, we first need to understand what’s at stake. Medicaid is the largest funder of long-term services and supports (LTSS) for individuals with IDD in the United States. But it’s not a one-size-fits-all program. In fact, the term “Medicaid” refers to a complex and evolving network of systems, waivers, and reimbursement structures that vary dramatically from state to state.
For IDD agencies, staying informed about these differences, and about ongoing policy shifts—is essential. Even seemingly small regulatory changes can have an outsized impact on eligibility, billing timelines, documentation requirements, and day-to-day operations. As we move through 2025, both federal and state-level reforms are reshaping how agencies must deliver care, prove compliance, and secure reimbursement. Understanding those shifts is the first step toward staying ahead of them.
To understand how to adapt, we first need to understand what’s at stake. Medicaid is the largest funder of long-term services and supports (LTSS) for individuals with IDD in the United States. But it’s not a one-size-fits-all program. In fact, the term “Medicaid” refers to a complex and evolving network of systems, waivers, and reimbursement structures that vary dramatically from state to state.
For IDD agencies, staying informed about these differences, and about ongoing policy shifts—is essential. Even seemingly small regulatory changes can have an outsized impact on eligibility, billing timelines, documentation requirements, and day-to-day operations. As we move through 2025, both federal and state-level reforms are reshaping how agencies must deliver care, prove compliance, and secure reimbursement. Understanding those shifts is the first step toward staying ahead of them.
Projected 2025 Medicaid budget cuts
Projected 2025 Medicaid budget cuts
In 2025, significant changes are proposed for Medicaid funding—changes that could reshape how states administer care and how agencies like yours operate. These proposals are part of a larger federal budget proposal aimed at reducing overall government spending that may have serious implications for the individuals who rely on Medicaid most.
In 2025, significant changes are proposed for Medicaid funding—changes that could reshape how states administer care and how agencies like yours operate. These proposals are part of a larger federal budget proposal aimed at reducing overall government spending that may have serious implications for the individuals who rely on Medicaid most.
Federal funding reductions
At the heart of the proposed cuts is a reduction of up to $880 billion in federal Medicaid spending over the next decade. While this figure spans ten years, the impact would begin immediately, putting pressure on state Medicaid programs to stretch their budgets further or reduce the scope of services. If implemented, these reductions would mark one of the largest rollbacks of Medicaid funding in recent history.
At the heart of the proposed cuts is a reduction of up to $880 billion in federal Medicaid spending over the next decade. While this figure spans ten years, the impact would begin immediately, putting pressure on state Medicaid programs to stretch their budgets further or reduce the scope of services. If implemented, these reductions would mark one of the largest rollbacks of Medicaid funding in recent history.
Impact on states
States depend on matching federal dollars to fund their Medicaid programs. A cut of this magnitude would represent an estimated 11.8% drop in federal Medicaid funding across all states. For many states already facing budget constraints, this would force difficult decisions—such as limiting eligibility, capping services, or reducing provider reimbursement rates. For providers, that could mean tighter margins, slower payments, or fewer funded hours per service.
States depend on matching federal dollars to fund their Medicaid programs. A cut of this magnitude would represent an estimated 11.8% drop in federal Medicaid funding across all states. For many states already facing budget constraints, this would force difficult decisions—such as limiting eligibility, capping services, or reducing provider reimbursement rates. For providers, that could mean tighter margins, slower payments, or fewer funded hours per service.
Policy changes
Beyond funding reductions, several proposals would alter how Medicaid eligibility is determined and maintained. These include:
- Mandatory work requirements for certain adult populations, which could result in tens of thousands losing coverage if they’re unable to meet documentation or reporting thresholds.
- Stricter eligibility redetermination processes, which may accelerate disenrollment, particularly among individuals with disabilities who rely on family or guardians to navigate complex paperwork.
- Increased state flexibility to change waiver designs, potentially leading to service reductions or caps on what can be billed under certain codes.
Beyond funding reductions, several proposals would alter how Medicaid eligibility is determined and maintained. These include:
- Mandatory work requirements for certain adult populations, which could result in tens of thousands losing coverage if they’re unable to meet documentation or reporting thresholds.
- Stricter eligibility redetermination processes, which may accelerate disenrollment, particularly among individuals with disabilities who rely on family or guardians to navigate complex paperwork.
- Increased state flexibility to change waiver designs, potentially leading to service reductions or caps on what can be billed under certain codes.
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Who is Giv?
Everything in one place.
Who is Giv?
Everything in one place.
Giv is designed to simplify your agency’s operations by streamlining Medicaid billing, complex scheduling, client documentation, and DSP payroll—all in one intuitive platform.
Giv is designed to simplify your agency’s operations by streamlining Medicaid billing, complex scheduling, client documentation, and DSP payroll—all in one intuitive platform.
Designed with care
Designed with care
Easily schedule shifts for clients and staff. With the Giv mobile app, staff can clock in and out and manage the client services. Billing and payroll are handled automatically, making it easier than ever for you to focus on driving outcomes for clients.
Easily schedule shifts for clients and staff. With the Giv mobile app, staff can clock in and out and manage the client services. Billing and payroll are handled automatically, making it easier than ever for you to focus on driving outcomes for clients.
Person centered
Person centered
Our software is human-centered, tailored to drive outcomes for clients, empower staff, and automate agency owner tasks.
Our software is human-centered, tailored to drive outcomes for clients, empower staff, and automate agency owner tasks.
Client Hub, EHR and eMAR.
Client Hub, EHR and eMAR.
Electronic health records and medication administration records combined and simplified to drive outcomes. Easily track every detail about your clients and empower your staff with critical information in real time through our mobile technology. Client outcomes are achieved when staff know what's required and can easily document every interaction.
Electronic health records and medication administration records combined and simplified to drive outcomes. Easily track every detail about your clients and empower your staff with critical information in real time through our mobile technology. Client outcomes are achieved when staff know what's required and can easily document every interaction.
Staff Hub, client care. Managed.
Staff Hub, client care. Managed.
Empower your direct support staff with everything they need to drive client outcomes. Timesheets, documentation and reporting are on autopilot, focusing your entire team on your clients needs. Easily track payroll and employee compliance documentation to always be audit ready.
Empower your direct support staff with everything they need to drive client outcomes. Timesheets, documentation and reporting are on autopilot, focusing your entire team on your clients needs. Easily track payroll and employee compliance documentation to always be audit ready.
Revenue Hub, your money, simplified.
Revenue Hub, your money, simplified.
Daily management of client billing and employee payroll is simplified when data flows directly from DSP interaction. Verify reported data without the manual calculation and entry. The revenue hub saves hours per week for your HR and billing teams.
Daily management of client billing and employee payroll is simplified when data flows directly from DSP interaction. Verify reported data without the manual calculation and entry. The revenue hub saves hours per week for your HR and billing teams.
Scheduling Hub,
intelligent shifts. Client info baked in.
Scheduling Hub,
intelligent shifts. Client info baked in.
Shifts that know your staff and clients are shifts that automate. Easily enforce client specific training for new direct support professionals, put goal tracking at the forefront and easily capture detailed client documentation. Your staff use one app, reducing their workload to focus them on clients.
Shifts that know your staff and clients are shifts that automate. Easily enforce client specific training for new direct support professionals, put goal tracking at the forefront and easily capture detailed client documentation. Your staff use one app, reducing their workload to focus them on clients.
FAQ
FAQ
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