State Policy · MT
Montana Medicaid Work Requirement Threatens Coverage for Homeless Individuals with Disabilities
Montana's Medicaid work requirement is causing coverage loss for homeless individuals who cannot meet work or documentation standards due to disabilities like seizures. Adults aged 19-64 must work, volunteer, or participate in job training for 80 hours monthly, or document qualifying exemptions. Homeless individuals face barriers documenting exemptions and accessing exemption-granting providers. The policy affects Montana's expansion population, which includes approximately 100,000 adults.
Why it mattersWork requirements with documentation barriers create operational compliance challenges for MCOs managing exemption verification and risk coverage loss for vulnerable populations with complex health needs.