Resources and Toolkits
Helping States Respond to the New Medicaid Rules
Piece on the need for states to work quickly to build Medicaid systems that serve clients efficiently and impactfully, with information related to CMS’s Interim Final Rule
States’ First-Ever Bill for SNAP Benefits Could Cost Billions
Summary of cost to states based on SNAP 2025 error rates
SNAP Policy Choices That Could Cost States Billions
Common policy missteps states may take in efforts to reduce SNAP payment error rates (PERs), such as adopting change reporting, imposing asset tests, or limiting discretionary exemptions, can have unintended effects of increasing error rates. Instead, states should make informed policy choices, such as adopting simplified reporting, waiving asset tests, allowing discretionary exemptions, and implementing…
How States Will Implement H.R. 1’s Medicaid Policies, Including Those Taking Coverage Away for Not Meeting Work Requirements
Analysis examining how states are likely to implement H.R. 1’s Medicaid provisions, including work requirements and other policies that can put eligible people at risk of losing coverage due to administrative barriers.The resource outlines key implementation timelines under both early and standard implementation scenarios, highlighting the first and last enrollee cohorts affected, major state policy…
States Need More Time to Prepare for Medicaid Work Requirement
States face an unrealistic timeline to implement Medicaid work requirements by January 2027 due to the compliance demands of data integration, system upgrades, and application portal modifications. These challenges are compounded by limited federal guidance, technical system constraints, and insufficient state capacity, making it difficult for states to adapt and administer the changes effectively. Consequently,…
SNAP Tracker: People Are Losing Food Assistance as the Republican Megabill Is Implemented
Tracker displaying most recent federal and state agency data on SNAP participation, along with unemployment trends.
Common Missteps on the Road to Lower SNAP Payment Error Rates
Guidance on state policy chocies that tend to increase SNAP payment error rates include requiring change reporting or monthly reporting, imposing asset tests, and limiting discretionary exemptions. In contrast, states can reduce errors by simplifying reporting requirements, using BBCE, applying exemptions, and using one-month lookbacks to minimize reassessments and ensure coverage for eligible populations.
Coordinating Medicaid and SNAP Work Requirements to Streamline Determinations
States can simplify and streamline determinations for individuals and agenciesand, reduce administrative burden, and minimize unnecessary coverage loss by leveraging the overlap in compliance activities and exemption reasons for individuals applying for or enrolled in both programs. Strategies on aligning exemptions, sharing data, and integrating verification processes highlighted through process flows and crosswalks.
Understanding CMS’s “Emmy” Medicaid Work Requirement Tools
CMS is offering states an open source, consent-based verification tool to streamline implementation of the Medicaid work requirement. This supports income verification for non-traditional workers, allows applicant review, and enables flexible system integration. Emmy API will also provide a single point of access for relevant data sources.
SNAP’s “Broad-Based Categorical Eligibility” Supports Working Families, Older Adults, and Those Saving for the Future
Resource explaining how SNAP’s BBCE helps working families qualify for food assistance by easing income and asset limits. It also outlines the potential negative impacts, such as increased food insecurity, if BBCE were eliminated.
Medicaid Auto-Renewals and Work Requirement Mandates: Lessons for States
Webinar session to discuss Medicaid unwinding lessons, strategies to coordinate work requirement and ex parte renewals, and methods toward designing flexible, efficient, and sustainable systems. Passcode: ^m3Q+Fuz
Implementing Medicaid Work Requirements
Implementation-oriented framework to support states with adapting to community engagement/work requirements. Features overview of “look back” period and four-step compliance flow including: checking for automatic hardship, screening for exemptions, checking for participation, and allowing for requestable hardship.
A Guide to Reducing Coverage Losses Through Effective Implementation of Medicaid’s New Work Requirement
Outlines strategies to reduce coverage losses including minimizing administrative and applicant burden, streamlining verification processes, creating accessible and user-friendly forms and portals, and strengthening communication and outreach efforts.
Work Requirements Implementation Resources Toolkit
Repository of resources for state administrators to support the implementation of work requirement policies through overview of implications and recommendations of smart system designs and processes.
Blueprinting SNAP Work Requirements
Blueprint on how work requirement policy impacts the process of SNAP application, determination, and maintained eligibility. Provides human-centered implementation recommendations such as focused support, ease of exemptions, discovery/comprehensive interview to capture compliance.
