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An Early Look at States’ Differing Approaches to Implementing Medicaid Work Requirements Amid Cost and Time Constraints and Uncertainty

A new KFF survey of state Medicaid officials and focus groups in eight states captures the different choices states are making about how to implement Medicaid work requirements, with seven states planning for a more restrictive approach to verifying work or exemption status or to implement work requirements early. These implementation plans are taking shape as states encounter time, cost, and other constraints as well as uncertainty about how to define and verify certain exemptions due to delayed federal guidance.

Medicaid Work Requirements

Tracking 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.

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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  • Comparison of Medi-Cal and Healthy Families Programs for Children in California

    Report

    A new side-by-side examination of California's Medicaid program (Medi-Cal) and CHIP program (Healthy Families) shows how these two low-income health coverage programs differ in structure, eligibility, enrollment process, service delivery and scope. This California case study helps to illustrate differences between Medicaid and CHIP. SIDE-BY-SIDE Download

  • Marketing Medicaid and CHIP: A Study of State Advertising Campaigns

    Report

    A Survey and Analysis of What States Are Doing Based on interviews of state officials and analysis of tv, radio, and print ads from the states, this report is the first nationwide analysis of states' advertising campaigns to enroll eligible kids into health coverage programs. Included is information about how states developed their campaigns and the common messages states are trying to convey about their coverage programs. Report (.pdf)

  • Financing HIV/AIDS Care: A Quilt with Many Holes

    Issue Brief

    HIV/AIDS care is financed by multiple sources in the United States, yet many people with HIV/AIDS face barriers in accessing care. This issue brief, created for the Kaiser Family Foundation's Capitol Hill Briefing Series on HIV/AIDS, provides an overview of how HIV/AIDS care is financed, including a discussion of spending, programs, and policy changes. Information about the series, and materials from each briefing, including a link to view a webcast of the event, can be…

  • Making It Simple: Medicaid for Children and CHIP Income Eligibility Guidelines and Enrollment Procedures

    Report

    This is a study of the enrollment process in children's Medicaid and the Children's Health Insurance Program (CHIP) in the 50 states and Washington, DC. Prepared by the Center on Budget and Policy Priorities, the study is comprised of a nationwide telephone survey of state officials, a review of state CHIP plans, and interviews with state child health advocates. The focus of the study is on income eligibility guidelines, simplification of applications, enrollment and redetermination…

  • Medicaid Enrollment in 50 States: June 1997 to December 1999

    Report

    This report provides current national and state-level data on the number of persons enrolled in Medicaid and CHIP. In addition to identifying recent trends in Medicaid and CHIP enrollment, this report also examines trends in the various eligibility categories within Medicaid. The report reveals that enrollment in Medicaid increased by 1.1 million individuals, or 3.6 percent, in December 1999 compared to the previous December. Executive Summary Report Link to December 2001 Data Update

  • Prescription Drugs: Results from a National Survey

    Fact Sheet

    Prescription drugs have become an integral part of medical practice - they help keep people healthy and save lives. But rising prescription drug costs have placed a growing burden on consumers, employers, and public programs. The issue of drug coverage for seniors under Medicare has moved to center stage in the Presidential election. Findings from The NewsHour with Jim Lehrer/Kaiser Family Foundation/Harvard School of Public Health "National Survey on Prescription Drugs," a Public Opinion Update…

  • Medicaid and Prescription Drugs

    Fact Sheet

    Summarizes the coverage of outpatient prescription drugs by Medicaid. Many low-income seniors and other Medicaid recipients rely on this benefit as their only means of drug coverage. Information on the drug rebate program and utilization management procedures is included, as well as data on who uses the benefit, how much is spent per enrollee, and what the data says about future trends. Fact Sheet : An Overview

  • Health Issues in the 2000 Presidential Election

    Other Post

    A Comparison of Proposals This report presents basic, nonpartisan information to help readers compare the leading presidential candidates' proposals on health care issues, including health coverage for the uninsured, managed care and patients' rights, Medicare reform, prescription drug coverage for seniors, and long-term care. Part of a joint effort of the League of Women Voters and the Kaiser Family Foundation to educate and engage the public on key health policy issues, this side-by-side comparison is…

  • Immigrants’ Access to Health Care

    Issue Brief

    Immigrants account for 20 percent of the uninsured. There are many reasons for immigrants' lack of coverage, but the welfare reform law of 1996 was significant in restricting Medicaid eligibility for certain immigrant populations. The Kaiser Commission on Medicaid and the Uninsured has produced new reports on immigrant health care: a chart pack highlighting statistics and a policy brief discussing the legal status of Medicaid eligibility. An issue paper summarizing the findings of immigrant focus…