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% across-the-board reduction for most state agencies, then a further $21.8M general-fund cut concentrated on Medicaid home and community-based services — together producing the largest contraction Idaho HCBS providers have faced in a decade.
“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.”
Q2 2026 window open
First findings publish at 5 included submissions.
0/5
Providers in
Per the published methodology, no quadrant figures are released below the 5-provider threshold. The dashboard and home page update automatically as included submissions cross it.
Last updated June 13, 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 · 33 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