Medicaid fraud crackdown threatens home care for disabled, risking loss of essential services

States are adopting a Medicaid fraud enforcement strategy modeled on the Trump administration, tightening regulations and cutting funding that many disability advocates say will strain the home‑care sector.

Jennifer Kucera, who has spinal muscular atrophy and depends on round‑the‑clock Medicaid‑funded aides, worries that the new rules could force her back into a nursing home where she previously experienced abuse.

Advocates argue the industry is already near its breaking point, and the crackdown could push vulnerable patients into institutional settings that lack adequate protections.

The trend highlights how policy shifts in Medicaid can directly affect access to essential services for people with disabilities, raising concerns among health‑care providers and policymakers.