New Medicaid Work Rule Means More Opportunities To Lose Coverage
States must verify work status and disability claims as officials warn the rule could push millions off Medicaid.
- On June 1, the administration of President Donald Trump issued new guidelines narrowing the 'medically frail' designation, which exempts Medicaid recipients from mandatory work requirements in 40 states and the District of Columbia.
- Previously, states assumed the designation included five disability categories without assessing work capacity; now, enrollees must prove significant impairment, creating a 'paperwork morass' that forces healthcare providers to document patients' capacity to work.
- State Medicaid agencies fear the complexity will trigger errors and coverage losses, with Adela Flores-Brennan, Colorado's Medicaid director, stating, "We're also worried about audits." Primary care providers are already overworked and burning out.
- Earlier this week, 25 Democratic-led states plus the District of Columbia sued the Trump administration over the work requirements, largely on the basis of the changed medically frail guidelines.
- With a January 2027 deadline approaching, Medicaid directors face implementation challenges as experts warn five million people could lose coverage; California is using text alerts to prevent enrollment drops.
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New Medicaid Work Rule Means More Opportunities To Lose Coverage
0:00 0:00 Produced in partnership with: Embed Download Volume Speed 0.5x 1x 1.25x 1.5x 2x Embed this player × Copy Too sick to work? You may have to prove it. Next year, Medicaid recipients will have to start showing documentation such as a doctor’s note to avoid a new work req…
States gird for new Medicaid ‘medically frail’ rule - Now Georgia
Photo courtesy of Now Georgia (Stateline) — State Medicaid agencies are concerned that many sick and disabled enrollees will lose their coverage because the Trump administration is narrowing the definition of who is “medically frail” enough to get an exemption from new work requirements. Under the tax and spending law President Donald Trump signed a year ago, states that have expanded Medicaid to cover more adults under the Affordable Care Act —…
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