States Seek Medicaid Work Requirement Authority

The Centers for Medicare and Medicaid Services (CMS) is granting waivers for states to establish work requirements for the able-bodied who receive Medicaid health care services. The requirements usually consist of community service, job training or schooling, if not outright employment. The waivers are designed to control the costs of Medicaid expansion under the Affordable […]

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Three Red States Approve Medicaid Expansion

Three states that are considered mostly Republican-leaning (aka “red states”) approved the expansion of Medicaid at the ballot box Tuesday. Idaho, Nebraska and Utah all said yes, while Montana rejected permanent Medicaid expansion after embracing the program in 2015. Idaho voters gave the largest measure of support to their ballot measure, with 61 percent saying […]

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Kentucky Fails to Get Medicaid Work Requirement Restored

A federal judge in the state capital of Frankfort has dismissed a lawsuit by the governor of Kentucky seeking to restore the Medicaid work requirement that a Washington, D.C. judge threw out earlier this summer. Gov. Matt Bevin had sued the same 16 individuals whose lawsuit against the newly instituted work requirement for Medicaid eligibility […]

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Federal Judge Strikes Down Medicaid Work Requirement in Kentucky

BREAKING NEWS: Kentucky on July 2 eliminated vision and dental benefits from its Medicaid program in response to a judge’s striking down of its work requirement. Amid the heightened tensions in the nation’s capital over filling a vacant Supreme Court seat, a federal judge has struck down Kentucky’s Medicaid requirement that the able-bodied must work, […]

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CMS to Step Up Scrutiny on State-Run Medicaid Programs

The Centers for Medicare and Medicaid Services (CMS) says it will crack down on Medicaid fraud through a renewed analytical effort “to hold states accountable” following Office of Inspector General (OIG) findings in California, Kentucky and New York. Thanks to a provision in the Affordable Care Act (ACA) that allows states to expand the ranks […]

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CMS Releases State-by-State Medicaid Scorecard

The Centers for Medicare and Medicaid Services (CMS) has released what is being called a “Medicaid & CHIP Scorecard” that attempts to compare the timeliness and quality of medical care of the two programs state by state, but a major problem is that reporting by the states is mostly voluntary. “Despite providing health coverage to […]

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U.S. to Spend $685 Billion on Health Care Coverage for Those Under 65 in 2018

The federal government subsidizes health insurance for most Americans through a variety of programs and tax provisions. In 2018, net subsidies for non-institutionalized people under age 65 will total $685 billion, the Congressional Budget Office (CBO) and the staff of the Joint Committee on Taxation (JCT) estimate. That amount includes the cost of preferential tax […]

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CMS Administrator Reaffirms Opposition to Medicaid Caps

At a health care symposium this week, Seema Verma, administrator of the Centers for Medicare and Medicaid Services (CMS), reaffirmed her agency’s commitment to keeping Medicaid available to its recipients without any lifetime limits or caps. Her statement follows her earlier rejection of a request by Kansas to cap Medicaid services in the state. “We’ve indicated […]

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CMS Draws Line in Sand on Medicaid Caps

Seema Verna, administrator of the Centers for Medicare and Medicaid Services (CMS), today rejected a request by the state of Kansas to cap an individual’s Medicaid benefits at three years. In a letter to Kansas officials, Verna noted that only if Medicaid recipients refused to meet any work requirements would it be possible to cut […]

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New Law: Must Work for Food Stamps in West Virginia

First it was Medicaid, and now it’s food stamps, at least in West Virginia. With no fanfare or public announcement, that state’s governor, Jim Justice, just signed a measure requiring able-bodied adults, 18-49 who are without dependents, to work, volunteer or participate in workforce training programs for 20 hours per week to receive benefits through […]

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