Medicaid coverage entitles enrollees to a wide range of primary, acute, post-acute, and long-term services and supports. However, participants often struggle to receive these supports due to a variety of factors such as inadequate reimbursement, caregiver shortages, and overly restrictive utilization management protocol. Unfortunately, though many states collect information regarding delivery of services, it is often not publicly available. As a result, national information on access to covered services is sparse. In the summer of 2024, the National Association for Home Care & Hospice (NAHC) surveyed members to gather information about provider experiences with delivering covered Medicaid services. The survey was conducted via an online tool and was distributed to NAHC membership that provides Medicaidfunded home and community-based services (HCBS). It included questions regarding acceptance of referrals, disconnects between the amount of service authorized and the amount delivered, as well as the reasons for any gaps in care. Respondent Characteristics A total of 108 unique members responded from 39 states and the District of Columbia. Respondent providers represented a wide range of sizes and footprints, with the vast majority of (n=99) respondents serving only one state and the largest respondent serving 5 states. Figure one demonstrates the geographic diversity of responding entities.