Medicaid, Medicaid Work Requirements

Federal Judge Reinstates Georgia Section 1115 Waiver

King & Spalding on 10/6/2022

On August 19, 2022, the United States District Court for the Southern District of Georgia reinstated “Georgia Pathways,” a Section 1115 demonstration waiver which requires individuals, among other conditions, to complete 80...more

U.S. Supreme Court Will Not Hear Arguments Over Medicaid Work Requirements

King & Spalding on 4/28/2022

On April 18, 2022, the Supreme Court tossed two consolidated cases from Arkansas and New Hampshire addressing work requirements for Medicaid coverage that required potential Medicaid beneficiaries to work, attend school, or...more

Georgia Sues HHS Over Medicaid Work Requirement Repeal

King & Spalding on 1/27/2022

On January 21, 2022, Georgia sued HHS over its withdrawal of the approval of the work requirement policy as a requirement for Medicaid eligibility in the Georgia Pathways to Coverage demonstration. As previously reported, in...more

HHS Rescinds Medicaid Work Requirements for Ohio, South Carolina, and Utah, and Reopens Comment Period for Tennessee

King & Spalding on 8/20/2021

On August 10, 2021, CMS notified Ohio, South Carolina, and Utah that it is withdrawing its prior approval of the Medicaid demonstration projects in these states, which had established work requirements as a condition for...more

HHS Revokes Arkansas and New Hampshire Medicaid Work Requirements

King & Spalding on 3/26/2021

On March 17, 2021, HHS notified Arkansas and New Hampshire officials that it was withdrawing its approval of demonstration projects which had permitted those states to impose work requirements as a condition for eligibility...more

BREAKING: Supreme Court Cancels Arguments on Medicaid Work Requirements

Foley Hoag LLP - Medicaid and the Law on 3/12/2021

On March 11, the Supreme Court removed the dispute over Medicaid work requirements, which was previously scheduled for March 29, from its argument calendar. It is worth noting that the Court did not issue a ruling with its...more

CMS Begins Internal Purge of Trump-Era Medicaid Policies

Foley Hoag LLP - Medicaid and the Law on 2/24/2021

While CMS has been relatively quiet as of late from a public-facing perspective as it waits for new political leadership to arrive (including newly announced CMS Administrator, Chiquita Brooks-LaSure), a recent review by your...more

CMS Indicates Reversal of Medicaid Work Requirements

Foley Hoag LLP - Medicaid and the Law on 2/17/2021

On Friday, February 12, the Centers for Medicare and Medicaid Services (CMS) took a first step to ending Medicaid work requirements. Acting CMS Administration Elizabeth Richter sent letters to Medicaid Directors in states...more

How the Biden Administration Can Reverse Trump’s Medicaid Work Requirements

Epstein Becker & Green on 1/14/2021

The U.S. Supreme Court will consider whether the federal government can approve state programs that force Medicaid participants to work, go to school, or volunteer to get benefits. Both Arkansas and the Justice Department...more

Trump Administration Approves Georgia’s Limited Expansion of Medicaid and Work Requiremen

King & Spalding on 10/23/2020

CMS approved Georgia’s Section 1115 demonstration project to partially expand Medicaid coverage for adults not otherwise eligible for Medicaid coverage with incomes up to 95 percent of the Federal Poverty Line (FPL)—short of...more

End-of-Term Retrospective on the Trump Administration’s 1115 Waiver Priorities

Manatt, Phelps & Phillips, LLP on 9/14/2020

Section 1115 of the Social Security Act permits states to waive certain Medicaid statutory requirements through demonstration projects that advance state policy priorities and test innovations in their Medicaid programs....more

What Does New Block Grant Guidance Mean for Medicaid?

Manatt, Phelps & Phillips, LLP on 3/9/2020

The Trump administration has issued sweeping new Medicaid guidance, continuing its efforts to cap federal Medicaid funding. The new policy relies on untested legal theories to implement the fundamental “bargain” of block...more

Federal Appeals Court Strikes Down Arkansas Medicaid Work Requirements

King & Spalding on 2/25/2020

On February 14, 2020, the United States Court of Appeals for the District of Columbia Circuit issued its decision in Gresham et al. v. Azar et al., Case No. 19-5094, a case challenging HHS’s Medicaid waiver that allowed...more

Washington D.C. Appellate Court Upholds Prohibition on Medicaid Work Requirement Waivers

Foley Hoag LLP - Medicaid and the Law on 2/20/2020

The Centers for Medicare & Medicaid Services (CMS) suffered a big loss in court last week. The United States Court of Appeals for the D.C. Circuit upheld a lower court ruling that blocked CMS from implementing one of the...more

CMS Releases Block Grant Guidance: Answers to your FAQs

Foley Hoag LLP - Medicaid and the Law on 2/5/2020

On January 30, 2020, the Centers for Medicare & Medicaid Services (CMS) issued its long awaited and highly anticipated State Medicaid Director Letter (SMD Letter) announcing the “Healthy Adult Opportunity” (HAO) initiative...more

CMS Releases Long-Awaited Block Grant Guidance

Brownstein Hyatt Farber Schreck on 2/3/2020

On Thursday, Jan. 30, the Centers for Medicare and Medicaid Services (CMS) released the Healthy Adult Opportunity initiative, long-awaited guidance that would enable states to convert Medicaid funding into a block grant for...more

Ten Things to Watch for in the Forthcoming Block Grant Guidance (Updated)

Foley Hoag LLP - Medicaid and the Law on 1/28/2020

UPDATED: It’s out! The much anticipated guidance, entitled the “Healthy Adult Opportunity” (HAO), from CMS introducing ways to revamp Medicaid financing has been out for nearly a week and we have had some time to review the...more

South Carolina Receives Approval from CMS to Implement Medicaid Work Requirements

King & Spalding on 12/27/2019

On December 12, 2019, CMS approved South Carolina’s proposal for a demonstration project that would add work, or community engagement, requirements as part of the eligibility determinations for the state’s Medicaid plan. ...more

Georgia Officials Announce Section 1115 Waiver Application to Expand Medicaid Eligibility

King & Spalding on 11/19/2019

On November 4, 2019, Georgia officials announced a proposed Section 1115 demonstration waiver, referred to as the “Georgia Pathways Health Waiver,” to expand Georgia’s Medicaid program eligibility for non-disabled adults. If...more

Indiana Medicaid Suspends Work Requirements Pending Resolution of Federal Lawsuit

King & Spalding on 11/14/2019

On October 31, 2019, in the face of a federal lawsuit, the Indiana Family and Social Services Administration suspended its enforcement of work requirements under the state’s Medicaid waiver project, the Healthy Indiana Plan...more

Push for Medicaid Work Requirements Encounters Headwinds

Chambliss, Bahner & Stophel, P.C. on 7/18/2019

Efforts by the federal government and some states to require certain Medicaid beneficiaries to work in order to maintain eligibility for benefits has run into a series of obstacles, both in the courts and in state...more

New Federal Guidance on Monitoring and Evaluation of Work Requirements and Other Coverage Demonstrations: What Does It Mean for...

Manatt, Phelps & Phillips, LLP on 5/24/2019

Introduction - In March 2019, the Centers for Medicare & Medicaid Services (CMS) issued detailed guidance for states on the monitoring and evaluation of “eligibility and coverage” Section 1115 Medicaid demonstrations. The...more

Medicaid › Medicaid Work Requirements