Now the world has become more dynamic and uncertain than it was a decade ago. The biggest Medicaid changes for 2023 are nowhere more evident than in healthcare in the USA. Several factors contribute to the biggest Medicaid changes for 2023 in the USA. These included the aftermath of the COVID-19 pandemic combined with the adoption of technology, the financial downturn, and above all acceleration of digitization. In addition to it, Consolidated Appointment Act (CAA) was signed into law through which Congress delinked the PHE (Public Health Engineering) continuous enrolment provision from the 3rd month of 2023. That might kick off millions of people from the government-sponsored medical program. The article will discuss the biggest Medicaid changes happening in 2023 in the USA.