Useful info at Smart Policy Works
Why work requirements won't work.
The Trump Administration is using its administrative authority to align Medicaid with conservative thinking that employment is linked to better health outcomes and helps move people out of poverty. CMS has already approved this shift in three states, with seven other states having similar waivers pending. But most Medicaid recipients are already working. And the track record of Clinton-era "welfare reforms" suggests this is not an effective way to enhance economic stability for people, or for states.
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Expirations loom for Medicaid managed care.
Although most states now deliver Medicaid services through managed care, in many states these programs come about through Medicaid waivers. Among the most frequently used are 1915(b) waivers, which have a short 90-day approval time frame and can last from 2 to 5 years. SPW has compiled a list of 1915(b) waivers
expiring before July 2019
to help promote the stakeholder engagement that is a critical piece of the waiver renewal process. Illinois' Managed Long Term Services and Supports waiver will expire in May 2019.