#interrai
What Nebraska’s interRAI Rollout Means for Developmental-Disability Waivers

By Vladimer Kuusk

https://news.nebraskamedicaidhelp.org/nebraska-interrai-developmental-disability-waivers/
November 6, 2026 at 6:35 AM
A Nebraska judge has allowed Bessey v. Nebraska DHHS to move forward, challenging the state’s use of the interRAI assessment tool to determine Medicaid funding for disabled people. https://journalstar.com/news/state-regional/government-politics/article_48a3e24e-8d2e-4b14-9886-1052cb290a66.html
Judge allows Nebraska man's claim to go forward over new Medicaid assessment tool
A district judge has allowed a Nebraska man's case to go forward over the state’s use of an algorithm-driven tool to determine funding for people with intellectual and developmental disabilities.
journalstar.com
November 3, 2026 at 5:30 PM
"...Curt Safranek on Sept. 23 requested copies of communications between Nebraska Department of Health and Human Services employees and the firm Alvarez & Marsal. DHHS in mid-August tapped the firm to independently review Nebraska’s use of its “interRAI” tool in a no-bid contract..."
October 21, 2026 at 1:14 AM
The Indiana Family and Social Services Administration quietly paused determinations for disability Medicaid waivers in August to review how case managers were implementing the agency’s new interRAI assessment system, as advocates raised alarm about the tool’s accuracy.
Indiana reviews Medicaid waiver assessments amid scrutiny of new tool
The Indiana Family and Social Services Administration quietly paused determinations for disability Medicaid waivers in August to review how case managers were implementing the agency’s new interRAI assessment system, as advocates raised alarm about the tool’s accuracy.
www.21alivenews.com
October 8, 2026 at 2:45 AM
Indiana reviews Medicaid waiver assessments amid scrutiny of new tool.
Indiana reviews Medicaid waiver assessments amid scrutiny of new tool • Indiana Capital Chronicle
The Indiana Family and Social Services Administration quietly paused determinations for Medicaid waivers in August to review how case managers were implementing the agency's new interRAI assessment sy...
indianacapitalchronicle.com
October 6, 2026 at 11:46 AM
The Indiana Family and Social Services Administration quietly paused determinations for disability Medicaid waivers in August to review how case managers were implementing the agency’s new interRAI assessment system, as advocates raised alarm about the tool’s accuracy.
Indiana reviews Medicaid waiver assessments amid scrutiny of new tool • Indiana Capital Chronicle
The Indiana Family and Social Services Administration quietly paused determinations for Medicaid waivers in August to review how case managers were implementing the agency's new interRAI assessment sy...
indianacapitalchronicle.com
October 6, 2026 at 2:05 PM
For example, AI-based decision systems are already killing people. No need to imagine some future.
Removing live-saving support for the disabled: www.nbcnews.com/news/us-news...
A secretive computer algorithm is taking caregiving money away from disabled people
After Nebraska used a new interRAI tool to slash Medicaid funding for nearly 900 people, NBC News uncovered the hidden logic behind some of the cuts.
www.nbcnews.com
October 1, 2026 at 7:01 AM
InterRAI isn't even new! This was one of the companies i first learned about via my 1st time working w/ @cdt.org, back in 2020! Go look up "Challenging the Use of Algorithm-driven Decision-making in Benefits Determinations Affecting People with Disabilities"! What are we doing???!
archive.is/d5RXZ
A secretive computer algorithm is taking caregiving money away from disabled people
After Nebraska used a new interRAI tool to slash Medicaid funding for nearly 900 people, NBC News uncovered the hidden logic behind some of the cuts.
nbcnews.to
September 20, 2026 at 3:51 AM
“Since Nebraska began using interRAI last year, the state has cut Medicaid funding to nearly 900 people with developmental disabilities, leaving many caretakers racing to overturn decisions made by an algorithm whose inner workings are largely hidden from the public.” www.nbcnews.com/news/us-news...
A secretive computer algorithm is taking caregiving money away from disabled people
After Nebraska used a new interRAI tool to slash Medicaid funding for nearly 900 people, NBC News uncovered the hidden logic behind some of the cuts.
www.nbcnews.com
September 20, 2026 at 6:15 PM
"Since Nebraska began using interRAI last year, the state has cut Medicaid funding to nearly 900 people with developmental disabilities, leaving many caretakers racing to overturn decisions made by an algorithm whose inner workings are largely hidden from the public."
InterRAI isn't even new! This was one of the companies i first learned about via my 1st time working w/ @cdt.org, back in 2020! Go look up "Challenging the Use of Algorithm-driven Decision-making in Benefits Determinations Affecting People with Disabilities"! What are we doing???!
archive.is/d5RXZ
A secretive computer algorithm is taking caregiving money away from disabled people
After Nebraska used a new interRAI tool to slash Medicaid funding for nearly 900 people, NBC News uncovered the hidden logic behind some of the cuts.
nbcnews.to
September 20, 2026 at 4:05 AM
“Officials say the system makes funding decisions fairer & more consistent. Families describe assessments riddled w preposterous errors, caregiving cuts so severe they fear loved ones’ safety & appeals process that appears to rubber-stamp what the algorithm decides.”
www.nbcnews.com/news/us-news...
A secretive computer algorithm is taking caregiving money away from disabled people
After Nebraska used a new interRAI tool to slash Medicaid funding for nearly 900 people, NBC News uncovered the hidden logic behind some of the cuts.
www.nbcnews.com
September 20, 2026 at 6:15 PM
“Instead of enacting cuts outright, she said, states can quietly turn dials on automated assessments to limit who qualifies & how much they receive. This transforms benefits decisions into a black box, making it hard to understand—much less—challenge results.” www.nbcnews.com/news/us-news...
A secretive computer algorithm is taking caregiving money away from disabled people
After Nebraska used a new interRAI tool to slash Medicaid funding for nearly 900 people, NBC News uncovered the hidden logic behind some of the cuts.
www.nbcnews.com
September 20, 2026 at 6:19 PM
The state Department of Health and Human Services defended its interRAI tool, which many families of disabled Nebraskans say has disrupted care for loved ones.
Nebraska defends disability assessment tool as state lawmaker, advocates push change
omaha.com
September 19, 2026 at 10:08 AM
As a caregiver, this is my worst nightmare and deepest fear. www.nbcnews.com/news/us-news...
A secretive computer algorithm is taking caregiving money away from disabled people
After Nebraska used a new interRAI tool to slash Medicaid funding for nearly 900 people, NBC News uncovered the hidden logic behind some of the cuts.
www.nbcnews.com
September 15, 2026 at 1:00 PM