KFF Analysis Finds SSI Applicants Face Coverage Risk Under Medicaid Work Requirements
KFF released a policy analysis examining how Medicaid work requirements could affect Supplementary Security Income (SSI) applicants. The analysis finds that SSI applicants are at heightened risk of losing Medicaid coverage due to challenges navigating the medical frailty exclusion verification process under work requirement policies. While individuals with disabilities are typically exempt from work requirements through medical frailty provisions, SSI applicants — who are in the process of establishing disability status — may struggle to document their conditions quickly enough to maintain continuous coverage. The analysis highlights operational barriers that could lead to coverage gaps for this vulnerable population.
State Medicaid agencies implementing work requirements must design medical frailty screening processes that accommodate SSI applicants in disability determination, or risk inappropriate coverage terminations for individuals who should qualify for exemptions.
Managed Care · Behavioral Health
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