Federal legislation signed on February 3, 2026, as part of the Fiscal Year 2026 funding package will streamline Medicaid enrollment processes for out-of-state pediatric provider organizations treating children with complex medical conditions. The legislation, the Accelerating Kids’ Access to Care Act, is intended to reduce administrative barriers that can delay access to specialized care across state lines. States must implement the new enrollment processes by 2029.

Under the law, states must establish a process allowing qualifying out-of-state pediatric provider organizations to enroll in their Medicaid programs for a five-year period to furnish services to beneficiaries . . .

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