- Vast majority of enrollees targeted by work requirements are already working or would qualify for an exemption.
- Low-wage and part-time work may not be sufficient to overcome poverty.
- Many non-working enrollees who could be exempt would need to navigate an exemption process.
Congress is considering amending the IMD payment exclusion, including a House bill that restricts IMD SUD services to those with opioid use disorder.
- Medicaid expansion
- Work requirements
- Eligibility and enrollment restrictions
- Benefit restrictions, co-pays, healthy behaviors
- Behavioral health
- Managed Long Term Services and Supports
- Delivery system reform
What Did CMS Approve in the Indiana and Kentucky Medicaid Waivers?
How Might Medicaid Adults with Disabilities Be Affected By Work Requirements in Section 1115 Waiver Programs?
- Plan Characteristics, Enrollees, and Services
- Provider Networks and Access to Care
- Member Experience and Access to Care
- Provider Payment and Delivery System Reform
Medicaid’s Role for Children with Special Health Care Needs: A Look at Eligibility, Services, and Spending
- How Do Medicaid/CHIP Children with Special Health Care Needs Differ from Those with Private Insurance?
- Medicaid plays an important role for individuals with mental health conditions, particularly those with low incomes
- Adults with mental illness on Medicaid more likely to receive treatment than those with private insurance or no insurance
- Receipt of psychiatric medication is more common among adults on Medicaid compared to those with private insurance or no insurance