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Medicaid leaders flag $85 million in state requests and caution on federal policy risk; Nemours, 1115 waiver noted

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Summary

DMMA described its FY2026 funding needs, an $85.5 million state request to cover FMAP shifts, MCO pricing increases, long‑term services growth and new benefits. The division described a planned Nemours pediatric global budget and an approved Section 1115 waiver authorizing postpartum supports including diapers.

The Division of Medicaid and Medical Assistance (DMMA) briefed the Joint Finance Committee on May 20 about the division's FY2026 request and program developments.

Major fiscal items - State request: DMMA cited an $85,500,000 state dollar request for FY2026 to address federal match changes, managed‑care organization (MCO) rate adjustments, long‑term services and supports growth, Medicare premium increases and new benefit implementations. - Hospital provider assessment: The governor's recommendation assumes collection of…

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