Resources and Toolkits
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.
Data and Analytic Approaches for Medical Frailty Exemptions
Resource outlining data and analytic approaches to support states through the technology implementation and integration process for Medicaid work requirements, with a focus on medical frailty exemptions.
Eligibility Made Easy (Emmy)
A CMS-developed suite of open-source tools that streamlines income and community engagement reporting for Medicaid applicants and enrollees
A New Tool for Implementing Medicaid Work Requirements
User-tested application templates and resources for Medicaid work requirements
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.