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Medicaid work requirements

Tracking the 2025 Reconciliation Law’s Medicaid Work Requirements: Data and Policies

To implement Medicaid work requirements, states will need to make important policy and operational decisions, implement needed system upgrades or changes, develop new outreach and education strategies, and hire and train staff, all within a relatively short timeframe. The information tracked here can serve as a resource to understand Medicaid work requirements and state options, gauge readiness, and track implementation of the requirements.

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understanding medicaid

Medicaid Financing

Medicaid represents $1 out of every $5 spent on health care in the U.S. and is the major source of financing for states to provide health coverage and long-term care. This brief examines key questions about Medicaid financing and how it works.

Medicaid Program Integrity

This brief explains what is known about improper payments and fraud and abuse in Medicaid and describes ongoing state and federal actions to address program integrity.

Medicaid and Provider Taxes

All states except Alaska cover some state Medicaid costs with taxes on health care providers. This brief uses data from KFF’s 2024-2025 survey of Medicaid directors to describe current practices and the federal rules governing them.

Medicaid and Hospitals

Absorbing reductions in Medicaid spending could be challenging for hospitals, particularly for those that are financially vulnerable. This brief provides data on the reach of Medicaid across hospitals, patients, and charity care.

Medicaid Home Care

This issue brief provides an overview of what Medicaid home care (also known as “home- and community-based services”) is, who is covered, and what services were available in 2025.

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  • Case Study: Ohio’s Money Follows the Person Demonstration (HOME Choice)

    Issue Brief

    This case study of Ohio's Money Follows the Person demonstration, known as HOME Choice, describes key features of the program and highlights early program experiences. Ohio was one of 17 states to receive federal funding for the Money Follows the Person (MFP) rebalancing demonstration in January 2007. The state was awarded up to $100 million in enhanced federal matching funds in order to transition roughly 2,200 seniors and people with disabilities from institutions to home…

  • Improving Access to Adult Primary Care in Medicaid: Exploring the Potential Role of Nurse Practitioners and Physician Assistants

    Issue Brief

    The inadequate supply of primary care providers is among the major challenges facing the U.S. health care system. Sixty-five million people live in areas designated by the federal government as having a shortage of primary care providers. Under the Patient Protection and Affordable Care Act (ACA), the pressures on access are certain to grow as millions of newly insured people enter the health care system. By 2020, the U.S. will face an estimated shortage of…

  • Kaiser Family Foundation Resources on Deficit-Reduction Debate

    Report

    These Foundation resources shed light on how the ongoing national debate about deficit reduction may affect Medicare, Medicaid and other health-care programs. These resources include analysis of specific savings proposals, polling on the public’s views of deficit-reduction options, summaries and comparisons of relevant elements of major deficit-reduction plans, and explanatory briefs and backgrounders describing key issues related to the debate. Drew Altman: The News Media and Entitlement Reform   Medicare-Specific Analysis Policy Options to Sustain…

  • Webcast: New CMS Estimates of State-by-State Health Expenditures

    Event Date:
    Event

    The Kaiser Family Foundation held a live interactive webcast on December 7, 2011, to discuss trends in state health care expenditures and the implications for national and state efforts to constrain health care costs. The webcast examines new state-by-state estimates of public and private health spending from the Centers for Medicare and Medicaid Services (CMS) published in the online journal, Medicare and Medicaid Research Review. An expert panel offers perspectives on the trends within and…

  • Policy and Political Implications of the Supreme Court Case on the Affordable Care Act

    Event Date:
    Event

    This webcast features a Kaiser Family Foundation briefing held on March 14, 2012, examining the policy and political implications of the pending U.S. Supreme Court case on the Affordable Care Act (ACA). At the briefing, the Foundation released new polling data on the public’s views about the case as well as their more general views about the health reform law. Participants included: Kaiser President and CEO Drew Altman (moderator)Joe Onek, Principal, The Raben Group Sheila…

  • Eliminating Adult Dental Coverage in Medicaid: An Analysis of the Massachusetts Experience

    Report

    This report examines the impact of Massachusetts eliminating coverage of most dental services for adults in its Medicaid program, MassHealth. The report findings include: In FY2004, 100,000 fewer MassHealth adult enrollees received dental services reimbursed by MassHealth than in FY2001, the year prior to the reductions; The number of private dentists actively treating MassHealth patients declined after the reductions, and dental directors at community health centers (CHCs) indicated that they did not have the capacity…

  • 2004 State and National Medicaid Spending Data (CMS-64)

    Report

    This set of tables, prepared by the Urban Institute for the Kaiser Commission on Medicaid and the Uninsured, presents the most current state-by-state information on Medicaid spending by services using data from the Centers on Medicaid and Medicare Services (CMS) Form 64 for Federal Fiscal Year (FFY) 2004. CMS-64 data provide a somewhat different measure of spending than does the Medicaid Statistical Information System (MSIS). Please refer to the "Overview of Differences" document below for…

  • New Publications on Immigrant Health Care and Linguistic Access

    Fact Sheet

    In 2000, there were over 32 million foreign-born residents in the U.S. Immigrants often face barriers to health coverage and health services. The disparities confronting immigrants can be similar to those faced by low-income working families generally, but immigrants also face other barriers, including linguistic issues and eligibility changes that have limited their ability to qualify for Medicaid. These new or updated publications address issues related to how race, immigration status, and language affect insurance…

  • New Medicare Drug Benefit’s Impact on States and Low-Income Beneficiaries

    Other Post

    New Medicare Drug Benefit's Impact on States and Low-Income Beneficiaries The recently signed Medicare prescription drug bill transfers responsibility for providing prescription drug coverage to dual-eligible beneficiaries from Medicaid to Medicare and creates a new subsidy program for low-income Medicare beneficiaries. These changes will have a major impact on state Medicaid programs both fiscally and administratively and it will also mean major changes for low-income beneficiaries' drug coverage. Presentation: Medicare Prescription Drugs and Low-Income Beneficiaries…