As of February 2020, 28 states have sought or received US Centers for Medicare & Medicaid Services approval to impose work requirements as a condition of Medicaid eligibility.1 Centers for Medicare & Medicaid Services requires states to exempt medically frail Medicaid beneficiaries from work requirements2,3 but gives states flexibility in defining such exemptions. After accounting for state definitions of medical frailty exemptions, it is uncertain whether nonexempt beneficiaries not meeting work requirements are disproportionately ill or medically unable to work.4,5 We characterized the proportion of nonexempt beneficiaries not meeting work requirements and determined whether they (1) differ in health from beneficiaries fulfilling them and (2) do not meet the requirements for health-related reasons.
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Silvestri DM, Gluck AR, Ross JS. Assessment of Health Status and Barriers to Employment Among Medicaid Beneficiaries Not Meeting Work Requirements After Accounting for State Medical Frailty Exemptions. JAMA Intern Med. Published online May 04, 2020. doi:10.1001/jamainternmed.2020.1039
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