Resources and Toolkits
Introducing Our User Experience Guide for Medicaid Work Requirements
Guide about the member-facing side of implementation, and why user experience is just as important as what happens on the backend
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.
Eligibility Made Easy (Emmy)
A CMS-developed suite of open-source tools that streamlines income and community engagement reporting for Medicaid applicants and enrollees
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.