Work Reporting Requirements
H.R.1 imposed a mandate on states to establish new work reporting requirements (WRR) for adults covered through Medicaid expansion or similar coverage offered through a waiver.
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The U.S. dollar wrapped by red tape
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States are Sending Initial Outreach Notices about Medicaid Work Reporting Requirements. What Do They Look Like?
With Medicaid work reporting requirements just a few months away, states are scrambling to make complex changes to their eligibility and enrollment systems and processes. States must also do targeted outreach to communicate new work reporting requirements (WRRs) to affected Medicaid expansion adults and new applicants. Many states launched websites this summer informing enrollees about…
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Right Wing “Data” Arguing for Medicaid Work Reporting Requirements is Fatally Flawed
We don’t usually write a blog like this that dissects the flawed methodology of the Foundation for Government Accountability (FGA) – a right-wing group that is well known for promoting work reporting requirements at the state and federal level – as well as cuts to Medicaid and the safety net more broadly. FGA’s own annual…
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Maternity Care Billing Changes Begin in 2027 with Potential for Better Transparency and Payments Across the Continuum of Care
As readers of Say Ahhh! know, 2027 will bring a host of unprecedented Medicaid changes, including work reporting requirements. One less prominent change ahead is adoption of new maternity care codes for insurance payers. Adopting new codes for maternity care adds to the long list of Medicaid agency to-dos, but remains critical for understanding and…
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How Are Parents Impacted By Medicaid Work Reporting Requirements?
Overview Starting January 2027, H.R. 1 requires every state that has expanded Medicaid to low-income adults – whether through the Affordable Care Act’s Medicaid expansion or a Section 1115(a)(2) waiver – to implement work reporting requirements (WRRs). New WRR mandates affect those enrolled in the Medicaid expansion category – coverage for adults with income up…
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H.R. 1 Readiness Tracker Update: Strain Is Building Before the Work Reporting Requirements Clock Starts
As states prepare to implement work reporting requirements, we are closely monitoring Medicaid and CHIP performance indicators on our H.R. 1 tracker. The latest Q1 2026 data show the status of state eligibility systems and processes right before most states start notifying enrollees about the requirements. The short answer: already strained and getting worse. Renewals…