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
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.
Eligibility Made Easy (Emmy)
A CMS-developed suite of open-source tools that streamlines income and community engagement reporting for Medicaid applicants and enrollees
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.