Expertise: Delivery System Reform and Implementation

In this comprehensive overview, we lead you through each state’s enacted budget for the year, their Medicaid spending plans, and program changes for FY2026. See where states are looking to allocate funds to best address their most mission-critical challenges and align with the needs of their communities.

This playbook provides a high-level framework to support states, health plans, and solution partners in designing, implementing, and evaluating work requirements and community engagement components within Medicaid. Developed by Sellers Dorsey experts, including former Medicaid Directors with firsthand experience, the playbook highlights key considerations, emerging best practices, and real-world lessons learned from past initiatives.

Governors have been shaping their proposed budgets for Fiscal Year 2026 (FY2026) over the past several months and experts from Sellers Dorsey summarized everything you need to know. Our exclusive report captures states’ overall proposed budgets, including their specific Medicaid spending plans and other budget highlights like child and family well-being, education, housing, workforce, environment, and more.