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Medicaid Work RequiremEnts

Key Issues for the Medical Frailty Exemption from Medicaid Work Requirements

CMS has released new guidance on Medicaid work requirements. For background on the medical frailty exemption, one of the key issues in the new rule, check out KFF's explainer. KFF is closely tracking how states are approaching implementation of Medicaid work requirements and navigating related challenges.

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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  • Spotlight on Uninsured Parents: How a Lack of Coverage Affects Parents and Their Families

    Issue Brief

    Providing health coverage for the entire family can both help to increase coverage of children and assist low-income families in obtaining more affordable health care services. This brief uses data from the 2005 Kaiser Low-Income Coverage and Access Survey to examine health coverage, access and the financial impacts of health care for low-income parents and their families. Issue Brief (.pdf)

  • The New Medicaid Integrity Program: Issues and Challenges in Ensuring Program Integrity in Medicaid

    Report

    This paper analyzes the Medicaid Integrity Program, a new federal effort within the Centers for Medicare and Medicaid Services that was enacted as part of the Deficit Reduction Act of 2005 to ensure program integrity in Medicaid. This paper defines program integrity as ensuring that health and long-term care services are provided to beneficiaries effectively and efficiently, with a goal of ensuring that quality care and tax dollars are not being put at risk through…

  • Fact Sheets Summarize President’s Budget Proposals for Health Insurance Coverage, Including Medicaid and SCHIP

    Fact Sheet

    Fact Sheets Summarize President's Budget Proposals for Health Insurance Coverage, Including Medicaid and SCHIP The President's fiscal year 2008 budget proposal includes changes to Medicaid, provisions for the reauthorization of SCHIP, and the health coverage initiative, Affordable Choices. These fact sheets provide an overview of President Bush's policy plans on these health coverage issues. The Affordable Choices Initiative: An Overview President's FY2008 Budget and The State Children's Health Insurance Program President's FY 2008 Budget and…

  • Report: Giving Voice to the People of New Orleans: The Kaiser Post-Katrina Baseline Survey

    Poll Finding

    This May 2007 Kaiser Family Foundation report is the first of several that will track the progress and challenges facing people living in the New Orleans area in the aftermath of Hurricane Katrina. To conduct the study, a team of 41 interviewers visited 456 randomly selected census areas, documented the physical condition of nearly 17,000 housing locations and completed interviews with 1,504 randomly chosen adults living in the four parishes between September and November 2006.…

  • The Impact of Part D on Dual Eligibles Who Spend-Down to Medicaid

    Issue Brief

    Individuals with incomes exceeding thresholds for regular Medicaid eligibility may qualify under state medically needy programs by spending down excess income on healthcare services. For the vulnerable population of Medicare beneficiaries who spend down to Medicaid, the Part D transition has added additional complexities that may result in disruptions in pharmacy coverage and add financial burdens. This paper explores the inter-relationship of Medicare prescription drug coverage and Medicaid spend-down for the medically needy. It describes…

  • Health Insurance Coverage and Access to Care for Low-Income Non-Citizen Children

    Issue Brief

    Largely due to a high uninsured rate, low-income, non-citizen children have very poor access to care, with many lacking a regular provider and going without preventive care. This brief examines health coverage and access to care for low-income, non-citizen children to provide insight into the challenges they face in obtaining health insurance and accessing care. Issue Brief (.pdf)