Documenting what Idaho's Medicaid reductions are actually doing on the ground.
An independent provider-led dataset. Not a survey. Not advocacy.
A peer-led coalition of Idaho providers of home and community-based services (HCBS) tracking workforce, capacity, access, and crisis spillover every quarter — so rate-decision consequences are visible, measurable, and attributable.
Anonymous · No login required
Idaho-led
Coalition of in-state HCBS providers
Quarterly
Structured cycle, public methodology
Anonymous
No provider name ever published
12 min
Average completion time
$74M
Total estimated annual impact on Idaho HCBS
~10% effective cut to residential habilitation
$21.8M HCBS-specific general-fund reduction
In March 2026, the Idaho Legislature approved a 4 percent across-the-board reduction for most state agencies and an additional $21.8 million general-fund cut concentrated on Medicaid home and community-based services. The additional 6 percent reduction concentrated on residential habilitation takes effect July 1, 2026. Together these produce a roughly $74 million total impact and an effective reduction near 10 percent for residential habilitation and related disability services.
New · Monthly reporting track
Monthly pulse reporting for residential habilitation
Residential habilitation providers absorb the largest share of the additional 6 percent rate reduction taking effect July 1, 2026. Because the impact will move faster than a quarterly reporting cycle can capture, the coalition is collecting monthly pulse-check data from this segment alongside the standard quarterly reporting that applies to all provider types. Monthly reporting opens the first week of each month and sunsets in June 2027 unless the coalition extends it. Quarterly reporting continues indefinitely.
“We've stopped taking new referrals in two counties. Our DSPs are working sixty-hour weeks just to keep the homes we already have staffed.”
Providers reporting
5
Q2 2026 (April–June 2026)
Median DSP vacancy
15%
Homes offline / closed
1
Operating at a loss
20%
Last updated June 29, 2026 · Auto-refreshes as submissions are reviewed
What we track
Four-quadrant frameworkStructured around the four-quadrant system-stress framework set out in the April 2026 Potentia Public Policy Institute white paper on Idaho's Medicaid reductions.
Cell suppression applied below n=5 providers (n=3 per region). Peer-reviewed quarterly. Read the full methodology →
01
Provider stability
closures, downsizing, intake freezes, county exits
02
Workforce stress
vacancy, turnover, overtime, wages, agency reliance
03
Access pressure
waitlists, declined referrals, high-acuity refusal, reduced hours
04
Crisis spillover
ER visits, hospitalizations, law enforcement, placement disruption
How it works
Submit
Now openEach quarter, providers complete the 12-minute structured survey covering the four quadrants plus financial position.
Aggregate
Submissions are reviewed, small-cell data suppressed, and indicators computed per the published methodology.
Publish
Trends release once the 5-provider minimum is met. No provider name is ever attached to published figures.
Looking ahead · 2027
House Bill 863 directs Health and Welfare to cost-survey residential habilitation, personal care, DDA services, supported employment, and targeted service coordination annually — with 15% audited. Providers participating in coalition data collection now are building exactly the operational discipline that will soon be required.
Q2 2026 window · 17 days left
If you provide HCBS in Idaho, your data is the record.
Twelve minutes. Anonymous in aggregate. Builds the independent operational record the state's audits won't.
Anonymous · No login · Independently operated · No state or vendor funding