Resources and Toolkits
Unlocking the Potential of Payment Error Buffers Through Uncapped Benefit Analysis
Paper exploring how uncapped benefit calculations in payment error predictive models can help create space for more “buffer” and create inclusion or exclusion criteria for better targeted reviews and greater predictive power.
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
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.