Montana Lacks Staff and Data Systems as Medicaid Work Requirements Near Implementation
Montana's health department has not hired the staff needed to review work requirement applications and lacks access to claims data required to verify medical exemptions as implementation approaches. The state only recently identified qualifying diagnoses for exemptions. These operational gaps raise questions about the state's readiness to administer work requirements without inappropriate coverage losses. The timing and specific effective date are not specified in the available content.
MCOs operating in Montana will need to coordinate with an unprepared state system on member eligibility verification, exemption documentation, and potential coverage transitions as work requirements take effect.
Managed Care · Finance
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