Roob offered his outlook on Medicaid Wednesday during FSSA’s quarterly financial review to close out fiscal year 2026. While he channeled optimism – entering the Indiana Government Center auditorium to the sound of AC/DC’s “Back in Black” – Roob warned the reversal does not mean the state has fixed its “unsustainable” Medicaid cost trajectory. “Medicaid is a fiscal chronic illness,” he said, “and like a chronic illness, oversight of the Medicaid budget requires constant management, not a one-time cure. On Wednesday, Roob referenced a report from Paragon Health Institute finding Indiana ranked third in the nation for improper Medicaid expansion enrollments. FSSA saved the state $24 million by moving nearly 3,200 Medicare-eligible Medicaid members to dual-enrollment status.