Medicaid Work Requirements Create Medical Exemption Decisions for Disability Enrollees
States implementing Medicaid work requirements must now determine which disability enrollees qualify for medical exemptions, adding administrative burden to existing eligibility processes. The requirements affect cancer survivors and other disabled beneficiaries who attempt to work but face losing coverage when income or work activity triggers reviews. States must review medical cases for a broader population of Medicaid enrollees to adjudicate exemption requests. The policy creates operational challenges for state eligibility systems already managing disability determinations.
State Medicaid agencies must build or expand capacity to adjudicate medical exemptions from work requirements, requiring clinical review protocols, staffing adjustments, and eligibility system modifications while managing coverage continuity risk for disabled enrollees.
Managed Care
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