Resources and Toolkits
New CMS Interim Final Rule on Medicaid Work Reporting Requirements
Webinar on CMS Interim Final Rule (IFR) on Medicaid work reporting requirements and implications for state policymakers
State Responses to H.R. 1: Exploring Budgets and Legislation for Public Benefits Delivery
Analysis and dataset providing an overview of how states are using budgets and legislation to respond to H.R. 1.
Operationalizing New H.R.1 Medicaid Copay Requirements: A Toolkit for States
This toolkit is intended to support states in understanding and implementing H.R.1’s new copay requirements for certain Medicaid expansion enrollees that meet specific income requirements. Included is a proposed operational approach to ensure compliance with federal requirements and reduce states’ administrative burden and potential barriers for members.
Reshaping Medicaid: Considerations for Monitoring the Impact of H.R.1
Issue brief outlining the strategic case for investment in monitoring, provides a phased action timeline for states to implement monitoring activities, and details potential priority monitoring domains.
Preparing Consumers for Changes to Medicaid
Webinar communicating new Medicaid work reporting requirements under H.R.1, highlighting how strong outreach strategies can help states protect coverage and support implementation. Experts from GMMB and Health Equity Solutions shared a communications framework and emphasized engaging enrollees in planning and message development.
Medicaid Work Reporting Requirements: Verifying Compliance and Exemptions
Toolkit outlining federal statutory definitions for qualifying activities and mandatory exemptions, describing criteria for ex parte verifications, and assessing need for additional application questions.
Medicaid Work Reporting Requirements: Implementation Planning Milestones
Toolkit outlining key implementation milestones for states to launch work reporting requirements including creation of governance structure, shaping policy and operational design (e.g. defining state choice for “look back period”, qualifying compliance activities, etc.), preparing staff and systems readiness, partner engagement, enrollee education, and monitoring and oversight.
Medicaid Work Reporting Requirements: Implementation Basics and State Decision Points
Implementation details on Medicaid work requirements outlining affected populations, exemptions, compliance pathways, information on state policy choices, and implementation timeline.
Defining Medical Frailty
Toolkit for states to define “medical frailty” work reporting requirement exemption through mechanism of alignment while aligning with CMS standards.
Implementing Benefits Eligibility + Enrollment Systems: State Responses to H.R. 1
Features interviews from seven states on adaptation journeys in response to SNAP and Medicaid on integrated eligibility and enrollment. Insights include states awaiting federal guidance, standing up work groups, putting technology road map placeholders, prioritizing SNAP PER, making changes to end-of-life systems, rethinking data sharing, and considering population impacts.
Digital Government Hub for H.R. 1 Implementation
A central resource library for state, local, tribal, and territorial governments working to implement public benefits policy and system changes created through OBBBA, featuring Medicaid work requirements and SNAP PER topic sections.
