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Massachusetts Medical Society




On January 11, 2018, a new policy encouraging states to develop work requirements in their Medicaid programs was issued by the Centers for Medicare and Medicaid Services (CMS).1 Under this policy, states can require nonelderly, nondisabled adults to work or engage in community service to qualify for Medicaid coverage, unless they are deemed medically frail or have a substance use disorder. States will be permitted to require detailed reporting on work status, decide who will be exempt from these requirements, and impose lockout periods for those who do not comply. For example, Kentucky’s newly approved program requires at least 80 hours of work or community engagement per month, or beneficiaries risk lockout.


From The New England Journal of Medicine, Nicole Huberfeld, Can Work Be Required in the Medicaid Program?, Volume 378, Page 788, Copyright © 2018 Massachusetts Medical Society. Reprinted with permission.

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