Medicaid Work Reporting Requirements: Implementation Planning Milestones
This milestone table outlines a detailed roadmap for states to implement mandatory Medicaid work reporting requirements under H.R. 1 by January 1, 2027.
The resource provides a step-by-step set of implementation milestones covering governance, policy design, IT modernization, staffing, managed care contracting, enrollee education, and federal engagement to ensure compliance with new federal mandates.
It emphasizes the need for early interagency coordination, user testing, and engagement with Beneficiary and Medicaid Advisory Councils to minimize coverage loss and administrative errors. The brief also warns that the aggressive timeline—less than 18 months from planning to go-live—poses significant challenges for states, many of which may need to pursue a good-faith waiver delaying implementation until 2029.
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