Brookings Researchers Challenge CMS Data Underlying Medicaid Work Requirements Rule
Brookings Institution researchers have publicly criticized the data and assumptions CMS used to support its Medicaid work requirements rule, which imposed stricter documentation standards for enrollees claiming medical exemptions from work mandates. The rule, already facing litigation, required beneficiaries to provide more extensive proof of illness or disability to qualify for exemptions than stakeholders anticipated. The Brookings critique alleges CMS misrepresented or manipulated data to justify the policy. This matters because if the agency's analytical foundation is undermined, courts may be more likely to vacate the rule, and CMS may face pressure to withdraw or revise the policy.
If courts find CMS relied on flawed data, the work requirements rule could be vacated, forcing states and MCOs to halt implementation and unwind exemption verification processes already in place.
Managed Care
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