New Federal Guidance Paves Way for Medicaid Work Requirement

The Centers for Medicare and Medicaid Services (CMS) has issued new guidance for states seeking to implement a work requirement for Medicaid recipients. North Carolina is one of 10 states to submit a demonstration project proposal to CMS under which work or participation in other community engagement activities – including skills training, education, job search, volunteering or caregiving – would be a condition for Medicaid eligibility for able-bodied, working-age adults. This would exclude individuals eligible for Medicaid due to a disability, elderly beneficiaries, children, and pregnant women.

The AMA has strong policy in opposition to Medicaid work requirements, and although noting the new guidance from CMS does include safeguards to protect Medicaid enrollees from losing coverage, the AMA anticipates increased administrative burdens due to patients seeking medical exemptions in states that implement the work requirements.  Read the AMA’s policy.


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