CMS OKs Wisconsin Medicaid work requirements: 3 things to know

CMS approved Wisconsin's Section 1115 waiver to implement new work requirements for Medicaid beneficiaries Oct. 31.

Here are three things to know:

1. Under the Social Security Act, Section 1115 waivers allow states to test healthcare delivery models for Medicaid and the Children's Health Insurance Program.

2. Wisconsin's waiver, titled "BadgerCare Reform," extends the state's Medicaid program through December 2023. It also allows the state to require childless adults between the ages of 19 and 49 to participate in at least 80 hours of work or community engagement each month to maintain Medicaid coverage, with certain exceptions. More than 178,000 beneficiaries could be subject to the rule.

3. While more states seek to implement Medicaid work requirements, the changes have faced resistance. Days before Medicaid work requirements were set to take effect in Kentucky, a federal judge blocked the measure. In Arkansas, the health department said 4,353 Medicaid beneficiaries lost their health insurance in September after failing to comply with new work requirements, bringing the total number of beneficiaries who have lost coverage to nearly 8,500.

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