{"id":9560,"date":"2026-04-30T11:00:05","date_gmt":"2026-04-30T16:00:05","guid":{"rendered":"https:\/\/westplexnews.com\/index.php\/2026\/04\/30\/many-states-unsure-how-to-implement-new-medicaid-work-requirements-kff-survey-finds-2\/"},"modified":"2026-04-30T11:00:05","modified_gmt":"2026-04-30T16:00:05","slug":"many-states-unsure-how-to-implement-new-medicaid-work-requirements-kff-survey-finds-2","status":"publish","type":"post","link":"https:\/\/westplexnews.com\/index.php\/2026\/04\/30\/many-states-unsure-how-to-implement-new-medicaid-work-requirements-kff-survey-finds-2\/","title":{"rendered":"Many states unsure how to implement new Medicaid work requirements, KFF survey finds"},"content":{"rendered":"<figure><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" src=\"https:\/\/missouriindependent.com\/wp-content\/uploads\/2026\/04\/medicaidapplication-1024x768.jpg\" class=\"attachment-large size-large wp-post-image\" alt=\"Economic assistance application for the South Dakota Department of Social Services. (Photo by Makenzie Huber\/South Dakota Searchlight)\" \/><figcaption>\n<p>Economic assistance application for the South Dakota Department of Social Services. (Photo by Makenzie Huber\/South Dakota Searchlight)<\/p>\n<\/figcaption><\/figure>\n<p dir=\"ltr\">WASHINGTON \u2014 State officials say they need more information from the Trump administration before they can fully implement new requirements for Medicaid, according to a survey released Thursday by KFF and the Georgetown University Center for Children and Families.<\/p>\n<p dir=\"ltr\">Republicans\u2019 \u201cbig, beautiful\u201d law made several changes to\u00a0<a href=\"https:\/\/www.newsfromthestates.com\/article\/gop-tax-cut-plans-may-depend-savings-medicaid-what-it-and-who-relies-it\" target=\"_blank\">the state-federal health program<\/a> for lower income people and some people with disabilities, including that enrollees between the ages of 19 and 65 work, participate in community service, or attend an education program for at least 80 hours a month.<\/p>\n<p dir=\"ltr\">The\u00a0<a href=\"https:\/\/www.kff.org\/medicaid\/an-early-look-at-policy-decisions-as-states-get-ready-to-implement-work-requirements\/\" target=\"_blank\">survey<\/a> of Medicaid program officials from 43 states showed the people tasked with implementing the law have questions about how exactly they should determine if someone meets the new requirements or is exempt.\u00a0<\/p>\n<p dir=\"ltr\">\u201cIn addition to how to define medical frailty, states wanted additional direction in many areas including what qualifies as community service, how to calculate half-time school attendance, and what is considered a \u2018significant relationship\u2019 to qualify for the caregiver exemption,\u201d the report states. \u201cThey also indicated they need guidance about what sources can be used for verification, whether self-attestation will be allowed if other sources are not available, and how long verification of exemptions remain valid.\u201d<\/p>\n<p dir=\"ltr\">The\u00a0<a href=\"https:\/\/www.congress.gov\/bill\/119th-congress\/house-bill\/1\/text?s=6&amp;r=1&amp;q=%7B%22search%22%3A%22H.R.+1%22%7D\" target=\"_blank\">law<\/a> includes several additional carve-outs, including for Medicaid enrollees who are pregnant, have dependent children, are tribal community members or are in the foster care system, and for individuals released from incarceration in the last 90 days, among others.<\/p>\n<p dir=\"ltr\">The vast majority of state officials surveyed said they would implement the new requirement for work, education, or community service at the start of next year.<\/p>\n<p dir=\"ltr\">There are, however, a few states moving forward earlier.\u00a0<\/p>\n<p dir=\"ltr\">Nebraska plans to begin May 1, Montana on July 1 and Iowa officials said they will begin this year, though they haven\u2019t provided a date, KFF said. Arkansas has planned a \u201csoft launch\u201d for July but won\u2019t actually remove anyone from Medicaid for not meeting the new requirements until next year, according to the report.<\/p>\n<h4>Hardship exemptions<\/h4>\n<p dir=\"ltr\">The KFF-Georgetown survey says that nearly all states will allow hardship exemptions for people in counties with higher unemployment; those who recently experienced a natural disaster; those who have been admitted to a hospital or nursing facility; or those who need to travel outside their community for medical care.<\/p>\n<p dir=\"ltr\">Indiana and Iowa are the only two states so far that don\u2019t intend to allow any hardship exceptions from the requirement that Medicaid enrollees work, attend community service, or enroll in an education program, the report said.\u00a0<\/p>\n<p dir=\"ltr\">\u201cOklahoma is not adopting the exceptions for residents of counties with high unemployment or with a declared natural disaster while Missouri is not adopting the exception for residents of counties with high unemployment,\u201d the report says. \u201cNew York is not planning to adopt the exception for individuals traveling outside their community for medical care. Twelve states had not made a decision.\u201d<\/p>\n<h4>Look-back periods vary<\/h4>\n<p dir=\"ltr\">Thirty-six states will look back one month when someone applies for Medicaid to determine whether they\u2019re working, participating in community service, or enrolled in an education program. Indiana and Idaho will look back at the last three months before the person applied to determine whether they meet the new requirement.\u00a0<\/p>\n<p dir=\"ltr\">Thirty-four states will look back one month during the renewal process, which must happen at least every six months under the law.\u00a0<\/p>\n<p dir=\"ltr\">\u201cIndiana and New Hampshire will check quarterly and at renewal to verify that enrollees meet the requirements every month between renewals,\u201d according to the report. \u201cArkansas will also look back three months at renewal but is not planning quarterly checks. States that had not made a decision at the time of the survey included five states for application, six states for renewal, and seven states for more frequent checks.\u201d<\/p>","protected":false},"excerpt":{"rendered":"<p>Economic assistance application for the South Dakota Department of Social Services. (Photo by Makenzie Huber\/South Dakota Searchlight) WASHINGTON \u2014 State officials say they need more information from the Trump administration before they can fully implement new requirements for Medicaid, according to a survey released Thursday by KFF and the Georgetown University Center for Children and&#8230;<\/p>\n","protected":false},"author":2,"featured_media":9561,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-9560","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Many states unsure how to implement new Medicaid work requirements, KFF survey finds - WestplexNews.com<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/westplexnews.com\/index.php\/2026\/04\/30\/many-states-unsure-how-to-implement-new-medicaid-work-requirements-kff-survey-finds-2\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Many states unsure how to implement new Medicaid work requirements, KFF survey finds - WestplexNews.com\" \/>\n<meta property=\"og:description\" content=\"Economic assistance application for the South Dakota Department of Social Services. (Photo by Makenzie Huber\/South Dakota Searchlight) WASHINGTON \u2014 State officials say they need more information from the Trump administration before they can fully implement new requirements for Medicaid, according to a survey released Thursday by KFF and the Georgetown University Center for Children and...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/westplexnews.com\/index.php\/2026\/04\/30\/many-states-unsure-how-to-implement-new-medicaid-work-requirements-kff-survey-finds-2\/\" \/>\n<meta property=\"og:site_name\" content=\"WestplexNews.com\" \/>\n<meta property=\"article:published_time\" content=\"2026-04-30T16:00:05+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/missouriindependent.com\/wp-content\/uploads\/2026\/04\/medicaidapplication-1024x768.jpg\" \/>\n<meta name=\"author\" content=\"Brad Hildebrand\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Brad Hildebrand\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/westplexnews.com\\\/index.php\\\/2026\\\/04\\\/30\\\/many-states-unsure-how-to-implement-new-medicaid-work-requirements-kff-survey-finds-2\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/westplexnews.com\\\/index.php\\\/2026\\\/04\\\/30\\\/many-states-unsure-how-to-implement-new-medicaid-work-requirements-kff-survey-finds-2\\\/\"},\"author\":{\"name\":\"Brad Hildebrand\",\"@id\":\"https:\\\/\\\/westplexnews.com\\\/#\\\/schema\\\/person\\\/86ac6e2a917ca881b22f6d55d1b955f0\"},\"headline\":\"Many states unsure how to implement new Medicaid work requirements, KFF survey finds\",\"datePublished\":\"2026-04-30T16:00:05+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/westplexnews.com\\\/index.php\\\/2026\\\/04\\\/30\\\/many-states-unsure-how-to-implement-new-medicaid-work-requirements-kff-survey-finds-2\\\/\"},\"wordCount\":647,\"publisher\":{\"@id\":\"https:\\\/\\\/westplexnews.com\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/westplexnews.com\\\/index.php\\\/2026\\\/04\\\/30\\\/many-states-unsure-how-to-implement-new-medicaid-work-requirements-kff-survey-finds-2\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/westplexnews.com\\\/wp-content\\\/uploads\\\/2026\\\/04\\\/medicaidapplication-1024x768-FrmgPs.jpg\",\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/westplexnews.com\\\/index.php\\\/2026\\\/04\\\/30\\\/many-states-unsure-how-to-implement-new-medicaid-work-requirements-kff-survey-finds-2\\\/\",\"url\":\"https:\\\/\\\/westplexnews.com\\\/index.php\\\/2026\\\/04\\\/30\\\/many-states-unsure-how-to-implement-new-medicaid-work-requirements-kff-survey-finds-2\\\/\",\"name\":\"Many states unsure how to implement new Medicaid work requirements, KFF survey finds - 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