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giftedviz.com January 18, 2018


President Trump's Medicaid work requirement: How will it impact Colorado?

12 January 2018, 12:29 | Darnell Patrick

The Trump administration's move allows states to deny medicaid if an able-bodied adult doesn't have a job

The Trump administration's move allows states to deny medicaid if an able-bodied adult doesn't have a job

The Trump administration's announcement on Thursday allowing states to tie low-income people's eligibility for Medicaid to work or work-related activities isn't aimed primarily at promoting work.

Ten states, including ME and New Hampshire, had sent proposals to the federal government seeking the controversial change.

Lynne said Colorado has no plans for a work requirement, which would require new legislation and years of implementation, as well as potentially be a burden for employers.

The administration's latest action spells out safeguards that states should consider obtaining federal approval for waivers imposing work requirements on "able-bodied" adults.

The Centers for Medicare and Medicaid (CMS) administrator, Seema Verma, said on Twitter the new effort will "improve Medicaid enrollees health outcomes by incentivizing community engagement".

Medicaid is the nation's largest public insurance program, providing health benefits to almost 74 million Americans, chiefly low-income adults.

The guidance represents a fundamental and much-disputed recalibration of the compact between the government and poor Americans for whom Medicaid coverage provides a crucial pathway to health care.

"This policy move does not include a single penny to job training, does not add a penny to job placement, does not add a penny to job creation", Berg remarked. Health officials could approve the first waiver - probably for Kentucky - as soon as Friday, according to two people with knowledge of the process.

A University of MI team recently published data in JAMA Internal Medicine from detailed survey of more than 4,000 MI residents enrolled in the state's expanded Medicaid program.

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"California will not impose work requirements on Medi-Cal beneficiaries", said Jennifer Kent, director of the Department of Health Care Services, which administers Med-Cal.

Noam N. Levey is a Los Angeles Times writer.

She is part of a team based at the U-M Institute for Healthcare Policy and Innovation that is evaluating Michigan's Medicaid expansion under contract with the state government. Consumer advocates and health policy experts fear that such a requirement could prove a big hurdle for many recipients, leaving them without the care they need.

Health insurance reforms initiated during Barack Obama's presidency raised the income cap for access to Medicaid, allowing millions of low-income earners to join the Medicaid rolls.

The guidance specifies only that pregnant women and "medically frail" people be exempt - though frailty is not defined - and that people with opioid addiction be either exempted or allowed to count time in drug treatment toward work activities.

If work requirements have the same impact in Medicaid, that will weaken the Medicaid expansion, furthering a key administration goal.

The new policy requires states to assist beneficiaries in meeting work and community requirements in child care assistance, transportation and other support, but said states will not have the authority to use the Medicaid funding to finance these services. Jane Hudson, executive director of the organization, said she is concerned about what would constitute a disability.

Sixty percent of Medicaid's non-elderly adults already work, according to a recent analysis of census data by the Kaiser Family Foundation.

The new regulations' supporters argue that it's a common sense idea.



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