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December 3, 2025
Checking All the Boxes: A Survey of Medical Frailty Definitions in Alternative Benefit Plans and Section 1115 Work Requirements Demonstrations
Shandra Hartly Issue Brief
Individuals 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…
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December 3, 2025
Recommendations for Mitigating Harms to People with Disabilities, Older Adults, and Caregivers from Medicaid Work Requirements
David Machledt and Jennifer Lav Issue Brief
*** 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…
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December 1, 2025
Improving Your HCBS Waiver Through Public Comment
Elizabeth Edwards Issue Brief
This 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…
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December 1, 2025
Strengthening the Home and Community-Based Services (HCBS) Grievance Process
David Machledt Issue Brief
In May 2024, the Centers for Medicare & Medicaid Services (CMS) finalized regulations meant to improve access to key Medicaid services for people with disabilities. Parts of the new regulations requires states to revamp how they receive and resolve issues that people using Home and Community Based Services experience…
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December 1, 2025
Medicaid Work Requirements: Mitigating Harm through Implementation
David Machledt Issue Brief
This piece provides an overview of the structure of the new Medicaid work requirement and recommends how states can choose policies that lessen the negative effects of this new requirement. Recommendations include reducing administrative burden for states and individuals through streamlined compliance procedures, ensuring that health and functional status…
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November 25, 2025
Prior Authorization in Medicaid Series
Brit Vanneman Issue Brief
This 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…
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Checking All the Boxes: A Survey of Medical Frailty Definitions in Alternative Benefit Plans and Section 1115 Work Requirements Demonstrations

Recommendations for Mitigating Harms to People with Disabilities, Older Adults, and Caregivers from Medicaid Work Requirements

Improving Your HCBS Waiver Through Public Comment

Strengthening the Home and Community-Based Services (HCBS) Grievance Process

Medicaid Work Requirements: Mitigating Harm through Implementation

Prior Authorization in Medicaid Series