On January 11, 2018, the Centers for Medicare and Medicaid Services (CMS) issued a letter to Medicaid directors describing its support of work requirements. CMS cited a connection between health and income as reason to test whether work requirements will “achieve improved health, well-being, and independence.” The administration also provided guidance to states as they develop waiver applications.
Many states, including Missouri, have increasingly viewed work and community engagement requirements as a mechanism to reduce reliance on Medicaid and other social service programs. Evidence from current safety net work requirements suggest that program design is critical to the outcome of such mandates.
Medicaid Work Requirements
