CMS Issues Final Rule on Medicaid Work Requirements for States
CMS released final regulations on June 1 governing how states implement Medicaid work requirements. The rule requires certain enrollees to prove they are working, completing job training, volunteering, or enrolled in educational programs to maintain coverage. States seeking to implement work requirements must comply with these federal standards. The rule affects millions of Medicaid enrollees and establishes the framework states must follow when designing and administering work requirement programs.
Managed care organizations will need to modify eligibility systems, implement beneficiary tracking and reporting infrastructure, and potentially manage significant disenrollment activity if contracted states implement work requirements under this framework.
Managed Care
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