FIND
Locate the programs, waivers, rates, and rules across federal and state health sources, wherever they are published.
DOMAIN / HEALTHCARE
Healthcare and Medicaid
The programs, waivers, rates, and rules that shape provider and vendor markets, found, verified, and productized with every fact pinned to its government source.
What lives here
CMS and state Medicaid programs, Section 1115 and 1915 waivers, state plan amendments, payment rates, rural health funding, conditions of participation, and the rulemaking that changes them.
What it is
Healthcare and Medicaid is the largest and most fragmented domain in government data. Medicaid alone is jointly run by the federal government and every state, so the rules that decide eligibility, coverage, and payment differ by jurisdiction and change on their own schedules. Waivers, state plan amendments, rate schedules, and program notices are published across dozens of federal and state agencies, in formats that rarely line up.
That sprawl is exactly what makes the data valuable. The same rule change can open or close a market for a provider, a vendor, or an advisor. Federal programs add another layer: the Rural Health Transformation Program is a $50 billion initiative distributing funds to all 50 states over five years, with the first year averaging about $200 million per state. Knowing who administers the money, what it funds, and by when is the difference between acting in time and missing the window.
What VerisGov surfaces
- Medicaid waivers, state plan amendments, and the rules that govern eligibility and coverage
- Provider and managed-care payment rates published by federal and state health agencies
- Program allocations and award amounts across rural health and other funded initiatives
- Application windows, reporting deadlines, and milestone dates set by administering agencies
- Provider enrollment, licensure, and conditions of participation that decide who can bill
- Notices of proposed and final rulemaking that change what a program funds and who qualifies
Programs in this domain
- Rural Health Transformation Program$50 billion over five years to every state, through CMS.Available now
- Medicaid HCBSHome and community-based long-term services and supports.Under review
- Money Follows the PersonHelps states move Medicaid members from institutions into community care.Available now
- Medicaid Section 1115 waiversState demonstration authority to redesign Medicaid eligibility and benefits.Under review
- CHIPChildren's Health Insurance Program state allotments, through CMS.Available now
- CCBHC demonstrationMedicaid payment model for community behavioral health, expanding by ten states.
- HRSA Health Center ProgramSection 330 grants funding community health centers nationwide.Available now
Proven in production
VerisGov already runs a dedicated navigator for a federal health program, with per-state detail pinned to its government source. See the RHTP Navigator as a working example of a fully built program navigator.
How VerisGov covers it
VERIFY
Pin every claim to its primary source so a payment rate or eligibility rule holds up under scrutiny.
PRODUCTIZE
Turn the verified corpus into a navigator, dashboard, report, dataset, or build. See what you can build.
Answers
Frequently asked questions
What government data and programs live in the healthcare and Medicaid domain?
This domain covers CMS and state Medicaid programs, Section 1115 and 1915 waivers, state plan amendments, provider and managed-care payment rates, conditions of participation, and rural health funding. It includes the Rural Health Transformation Program, a $50 billion federal initiative distributing funds to all 50 states over five years.
Which agencies and primary sources does VerisGov use for healthcare data?
Federal coverage anchors to the Centers for Medicare and Medicaid Services at cms.gov, which publishes waivers, state plan amendments, rates, and rulemaking. State Medicaid agencies add the jurisdiction-specific rules, so every fact is pinned to the federal or state source that issued it.
How current is the healthcare and Medicaid intelligence?
Medicaid rules and rates change on their own schedules across federal and state agencies, so the corpus tracks waivers, plan amendments, and program notices as they are published. Each item carries its government source so you can confirm it holds when a payment rate or eligibility rule is on the line.
How does VerisGov verify and productize healthcare data?
VerisGov finds the programs, waivers, rates, and rules across federal and state sources, verifies each claim against its primary source, then productizes the corpus into a navigator, dashboard, report, or dataset. The RHTP Navigator at rhtpnavigator.com is a working example, mapping a federal health program state by state.