Medicaid Payment Transparency Rules: State Reporting Requirements and Limitations Authors: Heather Saunders, Alice Burns, and Robin Rudowitz Published: Nov 6, 2026

https://www.kff.org/medicaid/medicaid-payment-transparency-rules-state-reporting-requirements-and-limitations/ This brief describes the transparency requirements that took effect in July 2026, uses T-MSIS data to assess the share of FFS spending and claims captured by certain reporting requirements, and discusses limitations of the new transparency requirements.