New Medicaid Work and Community Engagement Requirements

Prepared for the Robert Wood Johnson Foundation

On Jan. 11, 2018, the Centers for Medicare & Medicaid Services (CMS) released a State Medicaid Director letter providing guidance for states seeking 1115 waivers that condition Medicaid eligibility on work and community engagement, quickly followed by approval of Kentucky’s 1115 waivers that include these requirements. Both the new guidance and recent waiver approval represent a significant departure from past administrations’ positions. In this webinar, the Robert Wood Johnson Foundation’s State Health and Value Strategies program, together with technical assistance experts from Manatt Health, reviews the new guidance, including key design parameters, budget neutrality requirements, and monitoring and evaluation criteria.

Key topics covered include:

  • CMS guidance on work and community engagement requirements
  • Key elements of Kentucky’s waiver approval and special terms and conditions
  • Legal, policy and operational considerations for states contemplating the implementation of work and community engagement requirements

Click here to view the program on demand and download the presentation.

Deborah Bachrach, Partner, Manatt Health
Patricia Boozang, Senior Managing Director, Manatt Health

Support for this project was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.

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This program does not constitute legal advice, nor does it establish an attorney-client relationship. Views expressed by presenters are strictly their own and should not be construed to be the views of Manatt or attributed to Manatt.



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