Gov. LePage, Rep. Poliquin applaud Medicaid work requirement decision

14 January, 2018, 10:23 | Author: Wade Massey
  • The Trump administration is giving states more flexibility to require Medicaid recipients to work

States must describe how they'd help individuals meet the new Medicaid eligibility requirements and how they'd link them to additional job training resources.

"This is about helping people rise out of poverty", Verma said in a conference with reporters, according to NPR. Some of the working recipients' employers do not offer health insurance.

The work requirements will likely have an impact on a broad number of adults.

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And people in Medicaid are often dealing with crises - they may move a lot, or change phone numbers, making them hard to track down.

Lead author Renuka Tipirneni, M.D., M.Sc., a U-M assistant professor of internal medicine, is available to discuss the results and how they might inform the national and state-level discussion about requirements such as those laid out by CMS.

"Everybody wants to increase employment, that's a great goal, but this is not the right way to go about that", said Alker.

An HHS official, who spoke on the condition of anonymity because the official had not been authorized to discuss the developments, said the agency may approve Kentuckys request as early as Friday.

Republican lawmakers who have demonized the program as welfare for "able-bodied adults" have long sought to require Medicaid beneficiaries to work. Thats because children — who make up almost half of Medicaid enrollees — are excluded. "The analysis noted that, 'More than one-third of those not working reported that illness or disability was the primary reason for not working. almost nine in ten (88%) non-SSI Medicaid adults who report not working due to illness or disability has a functional limitation, and more than two-thirds (67%) have two or more chronic conditions such as arthritis or asthma'".

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That Kaiser Family analysis found that of the 942,000 on Medicaid here in Pennsylvania, 36 percent are not working while 60 percent do have someone working full time in the family.

The much-anticipated move - which was strongly condemned by patient advocates, physicians and consumer groups - would mark the first time in the program's half-century history that the government will require people to work in exchange for health coverage.

Public Citizen agreed, calling the idea of work requirements "cruel, stupid and illegal". Additionally, the guidance details that states can not accrue savings from loss in enrollment due to work requirements, which means that states will need to pay for any work requirement administrative burden, such as determining if an individual is working, developing an enrollee reporting system and employment supportive services, etc.

Though participating in such activities would theoretically ensure their continued Medicaid benefits, Waligora worries that failure to comply with "onerous administrative requirements" could cause even those who are eligible to lose coverage.

Ten states - Arizona, Arkansas, Indiana, Kansas, Kentucky, Maine, New Hampshire, North Carolina, Utah and Wisconsin - have already filed applications with CMS to add work requirements to their Medicaid programs.

"We look forward to working with states interested in testing innovative approaches to promote work and other community engagement, including approaches that make participation a condition of eligibility or coverage, among working-age, non-pregnant adult Medicaid beneficiaries who qualify for Medicaid on a basis other than a disability", the CMS letter said.

In a major change in policy, the Trump administration is inviting states to attach work requirements to Medicaid that could potentially affect millions of low-income recipients.

The Trump administration has announced its decision to allow states to impose work requirements on residents receiving Medicaid.

The new policy would be attempting to solve a problem that doesn't exist. It is an editorially independent program of the Henry J. Kaiser Family Foundation which is not affiliated with Kaiser Permanente.

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