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Title: METHODS APPENDIX: Medicaid Work Requirements in Nine States Could Cause 600,000 to 800,000 Adults to Lose Medicaid Coverage

Citation Type: Miscellaneous

Publication Year: 2019

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Abstract: This appendix describes how we estimated enrollment reductions if Medicaid work requirements under nine state Section 1115 waivers approved by the Centers for Medicaid and Medicare Services (CMS) are implemented. 1 (CMS also approved work requirements in Maine, but we are not including it because the state decided not to move forward.) Research indicates that imposing work requirements in public programs can substantially lower enrollment. To estimate the potential impact of work requirements in the nine states with approvals from CMS, we use the most recent information available, which includes analyses of participation declines that occurred after work requirements began in Arkansas’s Medicaid program and analyses of the effects across the nation when similar work requirements were added in SNAP.9 This appendix also provides background on the caseload losses that occurred in seven of the nine states within a year after SNAP work requirements were implemented, information that states were likely aware of when they submitted waivers for Medicaid work requirements. In most cases, Medicaid work requirements were modeled in part based on SNAP policies.

Url: https://www.commonwealthfund.org/sites/default/files/2019-06/Ku_methods_appendix_06-21-2019.pdf

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Authors: Brantley, Erin; Ku, Leighton

Publisher: The Commonwealth Fund

Data Collections: IPUMS USA

Topics: Health, Population Health and Health Systems

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