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Kentucky Gets OK To Require Work From Medicaid Recipients

Kentucky Gets OK To Require Work From Medicaid Recipients

The Centers for Medicare and Medicaid Services released new guidelines that allow states to require a Medicaid recipient to work in order to get their health care coverage.

Before the payment increases, Medicaid fees for primary care services for all age groups were typically 59 percent of the amount paid by Medicare, the US health program for the elderly, researchers note in Pediatrics.

The Illinois Health and Hospital Association also opposes the work requirements. Many of those left either to go to school or take care of a relative or are too sick to work. "Our fundamental goal is to make a positive and lasting difference in the health and wellness of our beneficiaries". And if they haven't done any of those things by that predetermined date, they'll get kicked out of Medicaid for six months and have to reapply. The federal government defines "medically-frail" as people with serious physical, mental, substance abuse or behavioral health conditions.

The Obama administration turned down several state requests to add a work requirement.

Dr. Richard Pan, a California state senator and pediatrician in Sacramento who sees Medicaid patients, said the idea just "doesn't make sense". Medicaid expansion is exactly that type of policy. Why Is Their Governor Resisting? The department is expected to begin to approve the state waivers immediately. The current request would require able-bodied adults without dependents to work at least 20 hours a week.

The Kentucky Medicaid changes generally mimic those of neighboring IN, which altered its program IN 2015 under then-Gov. That's because children - who make up almost half of Medicaid enrollees - are excluded. But many of those would drop out not because of finding work but because they can't overcome the new bureaucratic hurdles, say advocates for the poor.

President Donald Trump speaks to Seema Verma, the administrator of the Centers for Medicare and Medicaid Services.

A recent found that about one quarter of Medicaid recipients were able to work but unemployed.

The Trump administration, along with many Republican leaders in Congress, has long supported such a move.

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The Florida Senate in 2015 proposed expanding Medicaid under Obamacare and included in its proposal a mandate that eligible adults work to receive the benefits.

Opponents say the change will prevent people from getting the health care they deserve.

However, Bevin has said he would support for the state's Medicaid expansion with limitations, such as a work requirement.

"I want to publicly thank Cabinet for Health and Family Services Secretary Vickie Yates Brown Glisson, Education and Workforce Development Cabinet Secretary Hal Heiner, and the countless dedicated state employees who worked tirelessly to develop and secure approval for a program that will positively change Kentucky's health narrative for generations to come".

Verma, who has said she doesn't think Medicaid should become a way of life for people who are not disabled, said the new guidance shows how the administration is trying to give states more flexibility in running Medicaid.

"States have the opportunity to help individuals improve and enhance the skills that employers truly value", Verma said.

Most of those states (KY, IN, AZ, AR, KS, ME, NH, NC, UT, WI) have already undertaken an Affordable Care Act Medicaid expansion, thereby bringing into the program childless, able-bodied adults who are above the poverty line.

Beyond the opioid crisis, the new policy also threatens a range of low-income people. It is an editorially independent program of the Henry J. Kaiser Family Foundation which is not affiliated with Kaiser Permanente.


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