State Policy
KFF Examines State Strategies to Protect Pregnant Women from Medicaid Work Requirements
KFF published an analysis examining how states may structure Medicaid work reporting requirements to protect coverage for pregnant and postpartum women. The analysis reviews state options for exemptions, verification processes, and coverage continuity mechanisms as states implement work and community engagement requirements. States must balance federal compliance with maternal health access as work requirements return to consideration. For managed care organizations, the analysis highlights operational challenges in identifying exempt populations, managing enrollment disruptions, and maintaining continuity of prenatal and postpartum care under varying state policies.
Why it mattersMCOs must prepare systems to identify pregnant members, process exemption documentation, prevent inappropriate disenrollments, and maintain care coordination during work requirement implementation and exemption periods.
Also covered by:ccf.georgetown.edu