Weekly Roundup -
March 25, 2026
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Achieving Success with New Technology Add-on Payment (NTAP): What Life Sciences Companies Need to Know
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HIMSS26: Building the Foundation for Interoperable, AI-Ready Healthcare
Key Insights from the 2026 HIMSS Global Health Conference and What They Mean for Your Organization, A Leavitt Partners Perspective | March 2026
American healthcare is confronting two urgent realities. First, the administrative burden on clinicians and patients remains very high. Prior authorization delays, manual intake forms, fragmented records, and identity challenges continue to drive cost and erode the trust that is the foundation of the provider-patient relationship. At the same time, artificial intelligence (AI) capabilities are advancing rapidly, outpacing governance frameworks, regulatory structures, and data infrastructure. Together, these dynamics are the defining operational challenge of 2026.
Federal policy is responding less through sweeping new regulation than through coordinated execution levers. The Centers for Medicare & Medicaid Services (CMS) initiatives, including the Health Technology Ecosystem, information blocking enforcement, Health Data, Technology, and Interoperability (HTI-5) Proposed Rule , and the prior authorization (PA) final rule, reflect a shift toward making interoperability operational in production environments. What distinguishes this moment from prior efforts is the explicit linkage between interoperability and AI. Federal leaders are saying openly that reliable, trustworthy, and deflationary AI depends on disciplined data exchange, identify, and governance.
The 2026 HIMSS Global Health Conference & Exhibition (HIMSS26), March 9–12, in Las Vegas, NV, marked a clear transition from aspiration to execution. Policy technical and operational leaders increasingly framed interoperability as enterprise decisions rather than pilot concepts. Engagement by two Health Management Associates (HMA) companies, Leavitt Partners and the Wakely Consulting Group, reinforced a consistent theme: data exchange only creates value when organizations can translate it into better measurement, clearer accountability, and improved operational performance.
This article reflects what these teams learned and what it means for the industry.
What We Learned at HIMSS
Several themes surfaced throughout the conference, not as isolated ideas but as shared assumptions of the field shaping near-term strategy:
- AI Performance Depends On Interoperability And High-Quality Data. Across the sessions, stakeholders emphasized that AI tools are only as reliable as the data they use.
- CMS‑Aligned Networks Are Shaping Future Expectations. Fixed deadlines and explicit links between interoperability and program requirements are shifting how the industry views voluntary efforts, which are increasingly being treated as signals of future expectations for participation in federal programs.
- Information Blocking Enforcement Is Active. Federal confirmed that certification-related non-compliance actions are underway, reinforcing that developers face carry real operational consequences and their clients risk losing access to CMS payment incentives.
- The Federal Vision For AI Is Patient-First. CMS leaders consistently tied AI adoption to improved Medicare beneficiary experiences, while underscoring that progress depends on building the necessary data infrastructure now.
- Digital Quality Measures Is Moving To Implementation. CMS and ASTP/ONC alignment around HL7 FHIR based quality measures signals a directional commitment; early adopters will shape operational norms as the transition accelerates.
- Identity And Provider Directories Remain Critical Gaps. Patient matching, provider data accuracy, and consumer-facing credentialing surfaced repeatedly as necessary for reliable exchange, prior authorization, and care navigation. Leavitt Partners-moderated a session focused on moving the industry from alignment in principle to alignment in production.
- Governance Is Now An Operational Discipline. Health system leaders described governance structures and noted these must evolve alongside automation, and expanded data sharing.
- Consumer Technology Has Entered The Clinical Conversation. Emory Hillandale Hospital’s announcement of the first all-Apple facility signaled that the boundary between consumer devices and clinical infrastructure is evolving.
- Autonomous AI Systems Were Everywhere. Vendors demonstrated real-world use of AI agents for administrative workflows, even as organizations acknowledged uncertainty about governance, security, and identity management for non-human actors.
What It Means: Five Insights
Interoperability Is Being Defined by Performance, Not Certification
The CMS ecosystem is redefining interoperability in operational terms: HL7 FHIR APIs that function reliably, identity verification that works at the front door, and exchange that supports real workflows. More than 700 organizations have taken the CMS Aligned Network Pledge to support a more interoperable, patient-centered, and operationally accountable healthcare ecosystem. CMS has set hard deadlines (March 31 for initial results, July 4 for advanced capabilities), and the agency is tracking outcomes, not just attestations.
In the fireside chat moderated by Leavitt Partners Principal Ryan Howells, Dr. Thomas Keane was direct: The regulatory cycle is slow, and what the ecosystem can produce in nine months is what the regulations will eventually codify. Organizations that shape this work now will have less catching up to do when it becomes mandatory.
The Trusted Exchange Framework and Common Agreement (TEFCA), which now exchanges 600 million health records across 75,000+ organizations (up from 10 million in January 2025), is the rising tide that scales what the speedboat networks prove. And state-level health information exchanges (HIEs) remain strategically important given their governance structures, trust relationships, and operational capabilities.
Provider Directory Is The Sleeper Issue
While patient matching and digital identity drew attention, inaccurate provider data continues to generate significant cost and administrative friction. Real-time, standardized provider directories underpin PA, network adequacy, and care navigation and are emerging as high-impact focus area within federal interoperability initiatives.
Semantic Consistency Determines AI Outcomes
The distinction between moving data and meaningfully using data featured prominently. Organizations are recognizing that semantic alignment – common definitions, models, and computable data – is essential for AI performance at scale. Treating AI strategy separately from data infrastructure increasingly leads to underperforming investments.
Digital Identity And Privacy Architecture are Converging
Policy and industry discussions reflected growing alignment around higher‑assurance digital identity, privacy‑preserving design, and consistent credentialing. Progress in this area reduces friction for patient‑directed access while supporting trust and security across ecosystems.
Interoperability Is Expanding Beyond Traditional Clinical Data
HIMSS26 highlighted tangible progress in integrating pharmacy and oral health data into standards-based exchange. These efforts support whole-person care and signal a broader view of interoperability that extends beyond core clinical and claims data.
What Remains Unresolved
Despite momentum, several issues remain unresolved:
- How payer participation in national exchange frameworks, including TEFCA, will evolve
- Whether economic incentives will consistently support interoperability investments
- How governance models will mature as exchange and AI deployment scale
Near-term signals, such as CMS responses to pledged-network deadlines, finalization of HTI5 and related rules, continued prior authorization modernization, and digital quality measure implementation, will shape the next phase of execution.
What We’re Watching
Extending Open Standards to Rural and Underserved Providers
The Rural Health Transformation Program offers a unique opportunity to expand the open standards ecosystem being built. Leavitt Partners and Wakely are engaged in both the policy conversations and implementations that will determine how to ensure this opportunity can transform healthcare.
March 31 And July 4 Deadlines
CMS set these dates publicly and specifically. How the agency responds to organizations that miss them will signal how serious the voluntary framework really is and how quickly it becomes a program condition.
HTI-5 Finalization And HTI-6 Proposed Rule
ONC’s proposed rule to focus certification on HL7 FHIR APIs, algorithm transparency, and interoperability is still in proposed form. Finalization, as proposed, would transform the vendor landscape and remove the safe harbor that legacy proprietary interfaces have relied on.
Prior Authorization Is Moving
Last summer more than 60 payers committed to reducing the volume of services requiring PA, standardizing electronic PA using HL7 FHIR APIs, and answering at least 80 percent of electronic requests in real time by 2027. The direction is clear, the commitments are specific, and the infrastructure to support them — HL7® FHIR® APIs being built for patient access and the ecosystem is the same infrastructure PA modernization requires. Leavitt Partners and Wakely are watching closely as implementation moves from pledge to production.
The Digital Quality Measure (dQM) Enters The Implantation Phase
CMS has made clear where the market is headed: digital quality measurement built on HL7 FHIR. The challenge now is execution. FHIR infrastructure developed for prior authorization or patient access can be leveraged for quality reporting as well, creating the potential for reusable investment across use cases. But the transition to dQM is not simply a technology upgrade; it is a broader business transformation that will require changes in workflows, governance, and organizational readiness.
Digital Identity Momentum
The IAL2 token payload agreement, Medicare rollout of digital identity, and United Health Group’s Kantara pursuit signal that the industry is aligning on a shared credential infrastructure. Leavitt Partners will continue to support the development and adoption of the open identity standards that make patient-directed access real across payers, providers, and health technology platforms.
The infrastructure for an interoperable, AI-ready healthcare system is being built under real policy pressure in real-world environments. HMA companies brings health IT policy and open standards expertise to help organizations shape and navigate that landscape as well as actuarial and implementation depth to translate it into financial and operational decisions. Organizations that invest in the foundation—data, identity, standards, governance—will be positioned to move faster and more responsibly as AI capabilities continue to advance.
We Can Help
HMA companies are uniquely positioned to help organizations move from interoperability strategy to real-world execution. We provide end-to-end support across digital quality measurement transformation, policy-to-operations execution, pharmacy interoperability, oral health interoperability, digital insurance cards, and the actuarial and financial modeling needed to assess performance impact, revenue implications, and reporting risk. Leavitt Partners and Wakely professionals were active participants in HIMSS26 conversations and bring the policy, operational, measurement, and financial expertise needed to help clients prepare for what comes next.
Federal Policy News
Fueled By Leavitt Partners Weekly Health Intelligence
What the New Federal AI Framework Means for Healthcare Oversight
On March 20, the White House released the President’s Artificial Intelligence National Policy Framework. The framework follows a December 2025 Executive Order (EO), in which the President emphasized the need for a national Artificial Intelligence (AI) framework, as opposed to a “patchwork” of state laws. The EO also included a directive to establish a Department of Justice Task Force to evaluate and challenge state AI laws that may conflict with federal priorities. The framework released by the White House details several policies intended to be advanced through legislation by Congress. The objectives are grouped into six key categories:
- Protecting Children and Empowering Parents, which includes policy proposals intended to provide parents with tools to oversee and manage their children’s use of AI-enabled technologies by requiring certain features such as parental attestation requirements
- Safeguarding and Strengthening American Communities, which includes policy proposals related to the energy costs associated with the creation of data centers, while also providing certain flexibilities and incentives for AI developers and adopters
- Respecting Intellectual Property Rights and Supporting Creators, which directs Congress to address certain concerns related to the unauthorized use of an individual’s voice and likeness, while deferring to the courts to resolve other issues related to copyrights and intellectual property
- Preventing Censorship and Protecting Free Speech, which directs Congress to ensure that AI tools are not used to advance “partisan or ideological agendas”
- Enabling Innovation and Ensuring American AI Dominance, which directs Congress to establish “regulatory sandboxes” for AI applications and enable the use of federal datasets for the training of AI systems
- Educating Americans and Developing an AI-Ready Workforce, which directs Congress to preempt certain state laws while not preempting traditional state law enforcement powers, zoning laws, or a state government’s use of AI
The framework seeks to minimize regulatory burden and encourages innovation, including by preempting certain state laws. As stated in the framework, “Congress should preempt state AI laws that impose undue burdens to ensure a minimally burdensome national standard consistent with these recommendations, not fifty discordant ones.” In particular, the framework calls for Congress to prevent states from enacting laws that would allow for AI developers to be held responsible for illegal activities using their models. However, the framework does note that, with regard to laws seeking to protect children from the potential harms of AI, Congress should ensure that it does not preempt states.
The framework also mentions the development and deployment of sector-specific AI applications through existing regulatory bodies with subject matter expertise and through industry-led standards, rather than through the creation of a new agency or department to regulate AI. While the framework references energy and national security AI uses cases, it does not differentiate specific rules for AI use cases in health, including behavioral health. It also does not clarify which agencies will be responsible for AI in healthcare oversight.
Many components of the framework must be enacted by Congress, and the release of the framework by the White House could influence policymakers’ approach to AI-related policy proposals. In response to the framework House Speaker Mike Johnson (R-LA), Majority Leader Steve Scalise (R-LA), House Energy and Commerce Committee Chair Brett Guthrie (R-KY), House Judiciary Committee Chair Jim Jordan (R-OH), and House Committee on Science, Space, and Technology Chair Brian Babin (R-TX) released the following statement: “Today, the Trump Administration took a critical step in releasing a framework that gives Congress a roadmap to pursue legislation that provides innovators with much-needed certainty, while protecting consumers and prioritizing kids’ online safety. House Republicans look forward to working across the aisle to enact a national framework that unleashes the full potential of AI, cements the U.S. as the global leader, and provides important protections for American families.” Meanwhile, just a few days before the release of the President’s framework, Senator Marsha Blackburn (R-TN) released a discussion draft of the TRUMP AMERICA AI Act, which includes several components of the approach outlined by the Administration, including largely preempting state laws.
FDA Seeks Input on National Priority Voucher Pilot Program
On March 20, the US Food and Administration (FDA) announced a public hearing and request for comment on the Commissioner’s National Priority Voucher (CNPV) pilot program. The public hearing is scheduled for June 12, offering both in-person and virtual participation options. Requests to speak at the hearing are due by May 1, and written comments will be accepted through June 27.
FDA is seeking feedback on CNPV’s eligibility criteria, voucher selection processes, sponsor responsibilities, pre-submission requirements, review procedures, and other aspects of implementation, as well as the role of the CNPV Review Council. Established in June 2025, the CNPV program provides recipients with an expedited review of a single application, with a target of one to two months from filing to action, compared to the standard timeline of nearly a year. Eligibility is based on alignment with national priorities, as outlined by FDA. Since its launch, FDA has awarded vouchers for 18 products and granted four approvals, amid attempts from members of Congress to gain more clarity on the program, including how awards are being made and FDA’s authority to conduct such a program.
FTC Launches Healthcare Task Force to Coordinate Enforcement
On March 20, Federal Trade Commission (FTC) Chair Andrew Ferguson announced that the FTC will launch a new “Healthcare Task Force.” The task force will “engage in a coordinated, integrated approach to healthcare enforcement and advocacy to protect American patients, healthcare workers, and taxpayers.” In the memo directing the formation of the Task Force, Chair Ferguson cites the President’s EO on “Making America Healthy Again by Empowering Patients with Clear, Accurate, and Actionable Healthcare Pricing Information,” which directed the administration to work toward a more “competitive, innovative, affordable, and higher quality healthcare system” as the basis for the task force’s formation.
Per the memo, the Task Force will work to create a more coordinated approach to the FTC’s existing healthcare enforcement and advocacy activities, while also working to “identify emerging issues and new priority areas for enforcement and advocacy.” The Task Force will initially be comprised of the FTC Bureaus of Competition, Consumer Protection, and Economics, Office of Policy Planning, and Office of Technology and will be co-chaired by one representative from each of the Bureaus of Competition and Consumer Protection. However, the FTC also noted in the announcement that the Task Force will seek to expand its membership to include representatives from the Department of Health and Human Services and the Department of Justice. The full Task Force will meet at least once a month and report to the chair on a quarterly basis.
New Federal Task Force Signals Heightened Scrutiny Across Medicaid and Safety Net Programs
On March 16, the Trump Administration released an Executive Order (EO) directing the formation of the “Task Force to Eliminate Fraud,” designed to eliminate fraud in the provisioning of federal benefit programs, including housing, food, and medical care. The EO cites recent fraud investigations in Minnesota and asserts that there is “strong reason to believe that similar problems exist in other States, including California, Illinois, New York, Maine, and Colorado.” The Task Force will organize and connect members across federal departments and agencies, including HHS, with Vice President JD Vance serving as Chair and FTC Chair Ferguson serving as Vice Chair. The Task Force is directed to develop “a comprehensive national strategy” to address fraud in federal programs, including through the implementation of enhanced eligibility verification processes and more stringent enforcement of eligibility requirements, among other priorities. In terms of timelines, the EO directs each agency administering federal benefit programs to “identify the agency’s benefit transactions and processes that are most susceptible to fraud schemes” and report them to the Task Force chair and vice chair in 30 days, and then directs the Task Force chair and vice chair to coordinate with agencies to adopt anti-fraud requirements for these transactions and processes within 60 days of the EO. Within 90 days, the agencies must submit a plan to the Task Force to implement these requirements.
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State Policy News
California
U.S. House Committee Opens Investigation into Alleged California Hospice Fraud. On March 23, US House Oversight Committee launched an investigation into alleged hospice fraud in California, requesting documents from Governor Gavin Newsom’s administration on oversight and fraud prevention efforts. Reporting cited by lawmakers found hundreds of hospice providers in Los Angeles County showed multiple fraud indicators and billed Medicare at rates above the national average. State officials say they have taken steps to address fraud, including a moratorium on new licenses, revocations, and coordinated enforcement actions, while federal authorities note hospice fraud remains a broader nationwide issue.
Florida
Florida Governor Signs Bill to Fund AIDS Drug Assistance Program Through June 2026. On March 24, 2026, Florida Governor Ron DeSantis signed a bill that includes $31 million to fund the AIDS Drug Assistance Program (ADAP) through June 30, 2026, after the Department of Health previously issued an emergency rule lowering the ADAP eligibility threshold from 400 percent to 130 percent of the federal poverty (FPL) level due to funding concerns. House Bill 697 funds coverage for individuals up to 400 percent of the FPL, requires that ADAP medications be directly dispensed to patients and not through health insurers, and requires DOH to pass emergency rules to incorporate the changes outlined in the bill through June 30. DOH must also issue monthly reports detailing all federal revenues and expenditures for ADAP. The program still faces a $120 million shortfall in calendar year 2026.
Idaho
Idaho House Passes Medicaid Work Requirements Bill. The Idaho Capital Sun reported on March 23, 2026, that the Idaho House voted 59-9 to advance a bill that would adopt the Medicaid work requirements for the expansion group outlined in the 2025 budget reconciliation act (P.L 119-21, OBBBA). House Bill 913, sponsored by John Vander Woude, seeks to implement work requirements by December 31, 2026. It would also require applicants to demonstrate that they met work requirements for three months before applying for Medicaid. The bill now heads to the Senate.
Minnesota
Minnesota Receives Federal Approval of Medicaid Fraud Plan. MPR News reported on March 20, 2026, that federal officials have approved Minnesota’s corrective action plan to address Medicaid fraud risks, a key step that could lead to the release of $243 million in previously frozen federal funding. The plan includes revalidating high-risk providers and strengthening oversight measures, which the Centers for Medicare & Medicaid Services (CMS) said were sufficient to address program vulnerabilities. While state leaders expect funding to resume, the timing remains unclear, and Minnesota is seeking additional confirmation from CMS, including guidance on whether to pause an ongoing lawsuit related to the funding freeze. The dispute stems from earlier federal concerns that the state had not adequately prevented fraud in certain Medicaid programs, including services for individuals with autism.
Nevada
Nevada Issues Draft Medically Frail Definition for Public Comment. The Nevada Health Authority issued on March 19, 2026, a public notice to solicit comments on the state-developed definition of “medically frail.” Nevada proposes to define the term as someone who has a “documented physical, intellectual, developmental, cognitive, behavioral, or medical condition that results in significant impairment, functional limitation, or complex health needs such that the individual cannot reasonably meet federally mandated Medicaid work and community engagement requirements.” This includes having a substance use disorder; serious mental illness; physical, intellectual, or developmental disability that significantly impairs activities of daily living; serious or complex medical condition; being blind or disabled; or other conditions that create significant functional impairment. The state intends to submit a state plan amendment to define the term for the purpose of implementing Medicaid work requirements.
New York
New York Receives Federal Approval to Roll Back Essential Plan Expansion. Crain’s New York Business reported on March 22, 2026, that New York has received federal approval to reverse its recent expansion of the Essential Plan, allowing the state to reduce enrollment from about 1.7 million to 1.3 million people and regain access to nearly $9 billion in trust fund resources to help offset federal health care funding cuts. The approval from the Centers for Medicare & Medicaid Services (CMS) allows New York to return the program to a Basic Health Program structure under the Affordable Care Act, restoring access to federal subsidies and previously restricted funds.
Private Market News
Fueled By Wakely Consulting Group
New Surveys from AMA, Doximity Show AI Adoption is Increasing Among Physicians
The American Medical Association (AMA) released its annual survey on Artificial Intelligence (AI) adoption among physicians, finding that over 80 percent of physicians are now using the tool, more than double the rate observed in 2023 when the survey was first conducted. The most common use cases include:
- Summarizing medical research and standards of care (39 percent)
- Creating discharge instructions, care plans, or progress notes (30 percent)
- Documenting billing codes, medical charts or visit notes (28 percent).
Additionally, physicians are using AI for more activities, reporting an average of 2.3 use cases, up from 1.1 in 2023. Though physicians are increasingly positive about the potential for AI, common concerns include the potential for a loss of skills resulting from over-reliance on AI (a concern backed by research), data privacy, and information accuracy.
A separate new survey from Doximity covering similar topics finds that a smaller share (63 percent) of physicians are currently using AI as of January, though this is up from 47 percent in April 2025. The Doximity and AMA surveys both also highlighted physicians’ desire to be more involved in the decision-making process for AI tool adoption.
Our Insights
Fueled By Experts Across Our HMA Companies
Health Management Associates
Achieving Success with New Technology Add-on Payment (NTAP): What Life Sciences Companies Need to Know
This webinar is designed for life sciences companies seeking to navigate the New Technology Add-on Payment (NTAP) program. This session will equip drug, device, and diagnostic manufacturers with a clear understanding of eligibility requirements, the application process, and how to strategically position products for approval. Experts from HMA will also break down CMS evaluation criteria and highlight key updates shaping the NTAP program in 2026 and 2027.
2026 Georgia State of Reform Health Policy Conference | April 15, 2026
The inaugural 2026 Georgia State of Reform Health Policy Conference will be taking place in-person on April 15th, 2026 at the Omni Atlanta Hotel at Centennial Park.
2026 Michigan State of Reform Health Policy Conference | May 5, 2026
The 2026 Michigan State of Reform Health Policy Conference will be taking place in-person on May 5th, 2026 at the Kellogg Hotel and Conference Center! Managing constant change in healthcare takes more than just hard work. It takes a solid understanding of the legislative process and knowledge about intricacies of the healthcare system. That’s where State of Reform comes in.
2026 Maryland State of Reform Health Policy Conference | May 21, 2026
The 2026 Maryland State of Reform Health Policy Conference will be taking place in-person on May 21st, 2026 at the Baltimore Marriott Waterfront! Managing constant change in healthcare takes more than just hard work. It takes a solid understanding of the legislative process and knowledge about intricacies of the healthcare system. That’s where State of Reform comes in.
Wakely
MA Enrollment, the SNP Acceleration, and What They Mean for Providers Taking MA Risk
Medicare Advantage (MA) Special Needs Plan (SNP) enrollment grew 23% in two years. Over 8.2 million people are enrolled in MA SNPs, up from 6.6 million in February 2024. The headline number looks like straightforward market growth. What’s underneath it is more specific and more consequential for providers carrying MA risk. In this blog, Wakely’s experts discuss what the data shows and what providers with MA risk exposure should be doing about it.
Potential Swings in County-Level Benchmarks: Understanding the Nuanced Impacts of CMS’s Proposed Changes for 2027
The Centers for Medicare & Medicaid Services (CMS) Calendar Year 2027 Advance Notice, released on January 26, 2026, proposed changes to fee-for-service (FFS) expenditures and introduced a new risk adjustment model. Together, these updates could result in material changes in the average geographic adjustment (AGA) factors, which drive the county-level Part C benchmark rates. In this whitepaper, Wakely’s team describes three key proposed changes and highlights geographical areas that are at risk for material financial impact.
Vital Viewpoints Podcast
How Do Life Sciences Companies Keep Innovating When the Rules Keep Changing?
Listen Here
RFP Calendar
RFP Calendar
| Date | State/Program | Event | Beneficiaries |
|---|---|---|---|
| Date: February 2026 - DELAYED | State/Program: Illinois | Event: Awards | Beneficiaries: 2,400,000 |
| Date: March 20, 2026 | State/Program: Hawaii Community Care Services | Event: Proposals Due | Beneficiaries: 5,500 |
| Date: April 10, 2026 | State/Program: Hawaii Community Care Services | Event: Awards | Beneficiaries: 5,500 |
| Date: May 1, 2026 | State/Program: Nevada Children's Specialty | Event: Proposals Due | Beneficiaries: NA |
| Date: May 12, 2026 | State/Program: Nevada CO D-SNP | Event: Awards | Beneficiaries: 88,000 |
| Date: June 24, 2026 | State/Program: Wisconsin LTC GSR 3 | Event: Awards | Beneficiaries: 56,000 (all GSR) |
| Date: Summer 2026 | State/Program: Illinois Foster Care | Event: RFP Release | Beneficiaries: 33,000 |
| Date: July 1, 2026 | State/Program: Hawaii Community Care Services | Event: Implementation | Beneficiaries: 5,500 |
| Date: July 28, 2026 | State/Program: Nevada Children's Specialty | Event: Awards | Beneficiaries: NA |
| Date: August 2026 | State/Program: Indiana | Event: RFP Release | Beneficiaries: 1,400,000 |
| Date: January 1, 2027 | State/Program: Illinois | Event: Implementation | Beneficiaries: 2,400,000 |
| Date: January 1, 2027 | State/Program: Nevada CO D-SNP | Event: Implementation | Beneficiaries: 88,000 |
| Date: January 1, 2027 | State/Program: Wisconsin LTC GSR 3 | Event: Implementation | Beneficiaries: 56,000 (all GSR) |
| Date: January 1, 2027 | State/Program: Illinois Tailored Care Management Program | Event: Implementation | Beneficiaries: 22,400 |
| Date: July 1, 2027 | State/Program: Nevada Children's Specialty | Event: Implementation | Beneficiaries: NA |
| Date: January 1, 2028 | State/Program: Wisconsin LTC GSR 4,6 | Event: Implementation | Beneficiaries: 56,000 (all GSR) |
| Date: Fall 2027 | State/Program: Oregon | Event: RFP Release | Beneficiaries: 1,200,000 |
| Date: 2028 | State/Program: North Carolina | Event: RFP Release | Beneficiaries: 2,200,000 |
| Date: 2029 | State/Program: California | Event: RFP Release | Beneficiaries: NA |