CMS launches nationwide framework for state Medicaid work requirements

CMS issued a national framework to guide states implementing Medicaid work and community engagement requirements. The move standardizes the approval process for state waivers under H.R. 1 and signals federal support for expanding these policies. States including New York, Indiana, and Montana have already begun enrollment changes, leading to coverage losses. For practices, this means a growing number of Medicaid patients may lose eligibility, disrupting care continuity and increasing uncompensated care. Track your state's Medicaid agency announcements for implementation timelines and patient communication plans.