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Medicaid Substitution Rules: Mandatory vs Optional by State

  • December 15 2025
  • Rowena Calderwood
  • Health & Wellness
  • 0 comment
Medicaid Substitution Rules: Mandatory vs Optional by State

Medicaid substitution rules prevent children from switching to public insurance when private coverage is available - but states apply them differently. Some use 90-day waits; others use real-time data. Here’s how it works in your state.

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