CMS Proposes Narrow Medical Frailty Definition For Medicaid Work Requirement Exemptions

In the interim final rule for Medicaid community engagement requirements for the Medicaid expansion population, the Centers for Medicare & Medicaid Services In the interim final rule implementing Medicaid community engagement requirements for the Medicaid expansion population, the Centers for Medicare & Medicaid Services (CMS) proposed a standardized definition of medical frailty that focuses on whether an individual's condition significantly impairs the ability to work or participate in community engagement activities. By January 1, 2027, the 43 states and the District of Columbia that expanded Medicaid must ensure that non-exempt beneficiaries ages 19 to 64 are working, volunteering . . .