Medicaid Work Requirements: Current Waiver and Legislative …

2 days ago · With Donald Trump returning to the presidency and Republican control of the Senate and House, work requirements are likely to be back on the agenda—through federal legislation …

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FAQs about Medicaid Work Requirements: Current Waiver and Legislative … Coupon?

Can a Medicaid waiver be modified or terminated?

Waivers may be modified or terminated if the state fails to meet waiver conditions, or if the waiver is not achieving its intended goals. Beginning in 2018, waivers were approved in 13 states to institute work requirements for Medicaid beneficiaries to receive insurance coverage. ...

Are work and reporting requirements a condition of Medicaid eligibility?

For the first time in the history of the Medicaid program, the Trump Administration approved Section 1115 waivers that included work and reporting requirements as a condition of Medicaid eligibility in some states. ...

What is the income limit for Medicaid HCBS waiver?

To qualify for a Medicaid HCBS waiver for assisted living, you must meet certain financial and functional requirements laid out by the state in which you reside. These can vary by state, but in most states, the financial requirements indicate that the applicant can’t have income in excess of 300% of the Federal Benefit Rate. ...

What is a Medicaid waiver?

Since the Social Security Amendments of 1965 ( 42 U.S.C. Section 1315 ), states have made use of waivers, shaped by federal political priorities, to test a range of approaches to administering Medicaid, including managed care programs, eligibility expansions, and new benefits. ...

Can Medicaid waivers improve health care access?

Medicaid waivers are another salient example of how health care access is often dictated by where people live. Although we are concerned by the use of waivers to impose work requirements in Medicaid, we are equally hopeful that waivers will hold great potential for innovation in furthering population health. ...

How many states have work requirement waivers?

In total, CMS under the Trump Administration approved waivers with work requirements in 13 states. Across states, work requirement waivers were generally similar in conditioning Medicaid coverage for certain adults on reported employment or other qualifying activities, with some variation in technical details. For example, waivers varied by: ...