The Centers for Medicare & Medicaid Services published final Medicaid work requirements. Enrollees aged 19-64 must document 80 hours of work, community service, or education monthly. Medical frailty exemptions are tightened; patients must prove they qualify. States can begin implementing immediately. This is a structural eligibility shift that will reduce Medicaid rolls and increase administrative burden on practices to verify patient coverage status. The comment period for the rule has closed; the policy is now effective. Monitor your state Medicaid agency's implementation timeline and prepare for patient eligibility inquiries.