In the absence of federal legislation, states are actively seeking tools to reform their health care systems. While 1115 waivers rightly get a lot of attention, because of their ability to reshape state Medicaid programs, the Affordable Care Act’s Section 1332 waivers continue to be a promising avenue for states to stabilize their health insurance marketplace. SHVS is tracking state activity and has many resources, including a template, for states interested in pursuing a Section 1332 waiver.
Medicaid Work Requirements/Community Engagement: Federal Activity and State Considerations
At least seven states have submitted 1115 waivers requesting authority to introduce work requirements for some Medicaid beneficiaries, and last week CMS Administrator Seema Verma signaled the administration’s interest in considering proposals that promote community engagement and work activities. In this webinar, the Robert Wood Johnson Foundation’s State Health and Value Strategies (SHVS) program, together with technical assistance experts from Manatt Health, will examine key design considerations for states, including the populations to which work requirements or community engagement may apply; exemptions based on health status or community conditions (e.g. rates of unemployment; access to transportation); definition of work (how many hours per month? Per year? Will school, job training, and volunteer work satisfy a work requirement?); and, use of verification and attestation in determining whether work requirements and community engagement apply and are being met. We also will look at state operational issues including integrating work requirements with a streamlined online, electronic application and renewal process.