Capitol Correspondence - 05.14.18

CMS Approves New Hampshire’s Medicaid Work Requirements, Rejects Kansas’ Lifetime Caps

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According to The Hill:

“Medicaid beneficiaries in New Hampshire will have to work, attend school or perform community service to be eligible for benefits under a new waiver approved by the Trump administration.

Under the program, adults aged 19 to 64 will be required to participate in 100 hours per month of ‘community engagement activities,’ such as employment, education, job skills training or community service.

New Hampshire expanded Medicaid under the Affordable Care Act in 2014 to people earning up to 138% of the federal poverty level; state Republicans have been pushing to add work requirements ever since. 

The waiver program will also require co-pays for Medicaid recipients who make more than 100% of the poverty level.”

In contrast, also according to The Hill, the Administration did not accept the state of Kansas’ proposal to impose lifetime limits on Medicaid benefits. Specifically, “‘We have determined that we will not approve Kansas’ recent request to place a lifetime limit on Medicaid benefits for some beneficiaries’ Centers for Medicare and Medicaid Services Administrator (CMS) Seema Verma said Monday in a speech at a meeting of the American Hospital Association.

‘We seek to create a pathway out of poverty, but we also understand that people’s circumstances change, and we must ensure that our programs are sustainable and available to them when they need and qualify for them,’ she added.”

ANCOR will continue to report the Administration’s decisions on state Medicaid proposals, including Medicaid work requirements. If you wish to learn more about the different Medicaid work requirement proposals, please read Health Management Associates’ featured article on the topic, which offers a side-by-side comparison of Arkansas, Indiana and Kentucky’s programs.