Policy and financial changes to existing state Medicaid programs can be disruptive for Medicaid members and state staff and processes.
With President Trump in office, and potential Congressional support, several states are considering adoption of work requirements for Medicaid eligibility. If a state intends to condition Medicaid eligibility on a person’s engagement in work, community service, or education, they will need to carefully ensure effective implementation and mitigate legal challenges. Below are a few crucial factors to consider:
- Enrollee awareness
- Inbound communication
- Flexible eligibility systems
- Disenrollment proceedings
In this article, Public Sector Services experts Caitlin Thomas-Henkel and Heather Huff discuss how A&M can help HHS agencies execute critical initiatives to improve outcomes, manage costs and enhance functional efficiency in challenging environments.
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Navigating Work Requirements with AI-Driven Eligibility and Enrollment Solutions Under H.R. 1
September 18, 2025
The implementation of these rules presents significant challenges for states, particularly in balancing compliance with limited resources. A&M experts discuss how effective execution will require streamlined collaboration across teams and functions, leveraging efficiencies to ensure sustainable progress.
Medicaid Work Requirements – Update
May 28, 2025
Momentum builds in Congress for Medicaid work requirements, with states preparing to balance workforce engagement and essential health coverage for able-bodied adults.
Federal Budget Reconciliation Bill Proposals and Medicaid Provider Taxes
May 21, 2025
Proposed federal changes to Medicaid provider taxes could have major implications for providers, managed care organizations and the patients they serve. A&M Public Sector Services experts outline what's at stake and how states can proactively assess risks, identify new funding sources and maintain Medicaid program sustainability.
Medicaid Opportunities: Community Reentry for Incarcerated Youth and Adults
April 22, 2025
In a recent article, A&M Public Sector Services experts discuss new Medicaid supported reentry services that bridge the gap from incarceration to community care.