A Guide to Reducing Coverage Losses Through Effective Implementation of Medicaid’s New Work Requirement
A detailed guide outlining how states can minimize coverage losses and administrative burden while implementing new Medicaid work requirements established under the 2025 federal reconciliation law.
This report explains the provisions of the new federal Medicaid work requirement, effective January 2027, and offers state policymakers practical strategies to reduce harm and preserve coverage.
It highlights how states can streamline verification, automate data use, simplify forms, and align Medicaid and SNAP processes to avoid unnecessary disenrollment among eligible individuals. The guidance emphasizes human-centered implementation through accessible communication, mobile-first digital design, and continuous data monitoring to protect health coverage while ensuring compliance with federal law.
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