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A Look at October State Data for Medicaid Work Requirements in Arkansas

Issue Brief
  1. CMS also has approved work requirement waivers in Kentucky, Indiana, New Hampshire, and Wisconsin. After being invalidated by a federal district court before implementation, the Kentucky waiver was reopened for additional public comment and is now awaiting a new decision from CMS. Indiana, New Hampshire, and Wisconsin do not plan to implement their waivers before 2019.

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  2. According to state notices, coverage is terminated after the last day of the month (e.g., October) if enrollees were not compliant in two earlier months and did not report 80 hours of qualifying activities by the last day of the month. However, individuals have until the 5th of the following month (e.g., November) to report activities and could have coverage reinstated if they do so. For the next group of enrollees facing coverage loss for failure to comply with the new requirements, notices terminating coverage as of December 1st would go out in November for those already non-compliant for two earlier months, but could be reinstated for individuals who report 80 qualifying hours for November by December 5th.

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  3. Of the remaining October good cause requests, the state denied 16 and determined that 93 were “not a good cause issue.” No detail is provided about the substance of those requests or whether any good cause decisions have been appealed.

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  4. Other exemptions, accounting for about 8% of total exemptions, include pregnancy, caring for someone who is incapacitated, short-term incapacity, receiving unemployment benefits, receiving education and training, participating in an alcohol or drug treatment program and American Indian / Alaska Natives. American Indian / Alaska Natives are subject to the requirements but will be phased in at a later date.

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.