Medicaid Work Requirements Service Blueprint (Printable 11×17)
This 11x17 service blueprint visualizes every step, system, and policy decision involved in implementing Medicaid work requirements under H.R. 1—from application to renewal—identifying pain points, questions, and opportunities for states to streamline and humanize the process
The blueprint maps how clients, staff, and eligibility systems interact throughout the Medicaid enrollment and renewal process once work reporting requirements take effect in 2027.
It details policies such as exemptions, hardship requests, verification methods, and new certification cycles, highlighting critical administrative and design challenges like unclear notices, verification barriers, and fragmented data systems. The resource also surfaces opportunities for human-centered redesign—such as simplifying notices, automating verification, and aligning with SNAP processes—to help states reduce procedural churn and prevent unnecessary loss of coverage.
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