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- December 17, 2025
A Quick and Easy Method of Screening for Medicaid Eligibility under the Pickle Amendment: 2026 Update
Read moreWith help from Gordon Bonnyman from the Tennessee Justice Center, National Health Law Program provides the 2026 updated “A Quick and Easy Method of Screening for Medicaid Eligibility under the Pickle Amendment,” a screening tool and chart to determine if clients may be Medicaid eligible under the Pickle Amendment.…
- December 11, 2025
Prior Authorization in Medicaid Series
Read moreThis issue brief series explores how prior authorization policies shape access to care in public health coverage programs, particularly Medicaid. The first brief introduces the fundamentals of prior authorization, how it operates for Medicaid beneficiaries, and the growing movement for reform. Future installments will explore the legal and policy…
- December 3, 2025
Checking All the Boxes: A Survey of Medical Frailty Definitions in Alternative Benefit Plans and Section 1115 Work Requirements Demonstrations
Read moreIndividuals who are considered medically frail have traditionally been subject to different eligibility and coverage rules in the Medicaid program. Most recently, H.R. 1 exempted medically frail individuals from new work requirement imposed on Medicaid expansion populations. This survey provides information on the use of medical frailty in the…
- December 3, 2025
Recommendations for Mitigating Harms to People with Disabilities, Older Adults, and Caregivers from Medicaid Work Requirements
Read more*** Co-Authored with Natalie Kean, Jennifer Mathis, and Gelila Selassie The One Big Beautiful Bill Act (OBBBA) establishes unprecedented work requirements in Medicaid expansion. Prior experience has shown that people with disabilities, older adults, and caregivers who should be exempted from work requirements often lose coverage or are denied…
- December 1, 2025
Improving Your HCBS Waiver Through Public Comment
Read moreThis explainer, targeted toward people who use Medicaid Home and Community-Based Services (HCBS), encourages people to get involved in shaping on their state Medicaid HCBS programs through commenting on Medicaid waiver changes. It explains what makes an effective comment and where to find information about each HCBS program within…