States Begin Implementing H.R. 1 Medicaid Work Requirements and Eligibility Restrictions

States are implementing eligibility changes mandated by H.R. 1, including work requirements, immigration-related restrictions on federal Medicaid funding, elimination of retroactive coverage, and transition to six-month renewals for certain populations. The resource provides key implementation dates as states adopt these coverage restrictions. These changes will result in disenrollment for beneficiaries who do not meet work requirements or fall under new immigration-related funding restrictions. Managed care organizations must prepare for member turnover, adjust enrollment forecasting, and modify care management workflows to account for shortened coverage periods and new eligibility criteria.

Managed Care · Finance