The Maintenance of Effort Provision Protects Services

Executive Summary

The Families First maintence of effort provision not only prohibits states from disenrolling individuals, but it ensures that services available to enrollees at the start of the pandemic remain available to them as long as the state is receiving the enhanced match. At a time when many doctors’ offices are closed, access to case management is minimal, and enrollees are often left to navigate the health care system on their own, the provision protects enrollees and ensures access to services by maintaining the “status quo.”

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