On November 20, 2018, the Centers for Medicare & Medicaid Services (CMS) re-approved Kentucky's 1115 demonstration, Kentucky HEALTH, which includes work or community engagement requirements and cost sharing. The waiver was initially approved in January 2018 but was challenged in court. The district court subsequently vacated the demonstration approval directed CMS to review the waiver a second time. The new waiver goes into effect on April 1, 2019 and is approved through September 30, 2023.

Under the Kentucky HEALTH waiver, some Medicaid expansion adults between 19 to 64 and low-income parent/caretaker relatives will have to complete . . .

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