CMS Issues Interim Final Rule Imposing 80-Hour Monthly Work Requirement for Adult Medicaid Beneficiaries
CMS released an interim final rule Monday requiring certain adult Medicaid beneficiaries to meet an 80-hour monthly work requirement. The rule takes effect as an interim final rule, meaning it is immediately enforceable while CMS accepts public comments. Experts warn the requirement could reduce health coverage for home care workers, potentially disrupting LTSS workforce stability and service continuity for Medicaid managed care beneficiaries who rely on home-based services. The rule affects adult beneficiaries in non-expansion populations, though specific exemptions and state implementation timelines remain unclear from this brief announcement.
MCOs with LTSS contracts face potential workforce disruption if home care aides lose Medicaid coverage due to work hour documentation requirements, threatening network adequacy and care continuity for members receiving home-based services.
LTSS · Managed Care
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