Missouri Faces Medicaid Paperwork Crisis Ahead of January 2027 Work Requirements
More than 300,000 Missouri Medicaid enrollees lost coverage during unwinding, with 92% losing coverage due to procedural issues rather than ineligibility determinations. The state faces implementation of federal Medicaid work requirements effective January 1, 2027, following passage of constitutional amendment language in the Republican-led state House. The high rate of procedural terminations during unwinding raises operational concerns about the state's administrative capacity to manage work requirement compliance and documentation processes without causing additional inappropriate coverage losses for eligible beneficiaries.
States with demonstrated administrative challenges in processing eligibility redeterminations face heightened risk of improper coverage terminations when layering work requirement verification and reporting onto existing systems.
Managed Care · Finance
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