Medicaid Work Reporting Requirements: Verifying Compliance and Exemptions
This report provides detailed guidance for states on how to verify compliance with and exemptions from Medicaid work reporting requirements established under H.R. 1.
The report outlines the federal statutory framework for Medicaid work requirements, including definitions of qualifying activities, mandatory exemptions, and optional hardship exemptions.
It explains how states can operationalize ex parte verification using existing data sources—like wage records, claims data, and federal data hubs—to minimize administrative burden while meeting verification mandates. The document also identifies where states must build new data connections, update eligibility systems, and finalize IT and policy processes before the January 2027 implementation deadline
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