Resources and Toolkits
Implementing Medicaid Work Requirements
Tools and templates for states to improve Medicaid work requirement communications, including paper & online application templates updated post-IFR and digital interactive guide
SNAP Work Requirements Implementation Resources
Materials related to SNAP work rules and ABAWD requirements, including summary of changes, resources on process and implementation, model notices, and population-specific flyers
SNAP Payment Accuracy Resources
These resources include materials related to SNAP QC, error reduction, and payment accuracy, including 101 explainers
State Strategies to Improve SNAP Payment Accuracy: Early Lessons from the First Year of H.R. 1 Implementation
Multi-state survey summary of state agency work to implement new payment error requirements, prepare for upcoming cost sharing provisions, and strengthen payment accuracy efforts
Fraud Prevention & Response Efforts in SNAP
Article to understand SNAP fraud and program integrity risks, protect SNAP program integrity, and address potential fraud
What to know about the SNAP Payment Error Rate
Explainer on SNAP Payment Error Rate (PER), with 10 Things to Know about SNAP and overview of what PER does and does not measure
Implementing Medical Frailty Exemptions Under HR 1: Clinical Considerations From Medicaid Medical Directors
JAMA Health Forum Viewpoint article examining how states can implement the Medicaid “medical frailty” exemptions under HR 1’s new work reporting requirements with recommendations for states to use flexible, clinically driven standards, multiple data sources, and priortize transparency to identify such individuals and prevent harmful coverage disruptions.
A New Tool for Implementing Medicaid Work Requirements
User-tested application templates and resources for Medicaid work requirements
Work Requirement Crosswalk
Chart summary of OBBBA provisions on work and community engagement requirements across SNAP, Medicaid, and TANF, with FAQs from state administrators and advocates to support implementation.
Open Source Software Tool (OSCER) for Medicaid Work Requirements
Open-source community engagement reporting (OSCER) tool enables states to achieve work requirements compliance automatically using client and ex parte data, or otherwise provide link for manual certification or exemption application. Provides staff with case management and reporting tools, and sends results to state Medicaid agencies for issuance or disenrollment.
Human-Centered Work Requirements for Medicaid
Evidence-based recommendations for states to optimize implementation of work requirements include: integrating compliance and exemption information and reporting into a single streamlined process, designing clear and actionable notices, utilizing text communications, and building mobile-friendly platforms.
Adaptable Resources for States and Locals
Various templates for state and local governments to meet OBBBA requirements, including primers for program staff and state leadership, targeted flyers for populations (e.g. veterans, unhoused, older adults), and work requirements checklists.
