SHADAC Releases Administrative Cost Monitoring Guide for H.R.1 Medicaid Implementation
SHADAC published a monitoring guide for states implementing H.R.1's Medicaid structural changes, which include mandatory 80-hour monthly work requirements, elimination of continuous eligibility, and reduced federal match rates. The guide focuses on tracking administrative costs as states build new verification systems and comply with restrictions on retroactive coverage and presumptive eligibility. States face significant operational buildout with reduced federal funding, requiring new data infrastructure to verify work activities and manage increased enrollment churn.
Managed care organizations will face higher member turnover, increased disenrollment and re-enrollment processing costs, and new coordination requirements with state work verification systems under H.R.1's structural changes.
Managed Care · Finance
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