Wis. can im­pose Med­i­caid work re­quire­ments, time lim­its, but not drug test­ing

Modern Healthcare - - Regional News -

The CMS last week gave Wis­con­sin per­mis­sion to im­pose work re­quire­ments on ben­e­fi­cia­ries. It’s the first state to re­ceive a green light for the pol­icy with­out ex­pand­ing Med­i­caid.

Wis­con­sin also be­came the first state to win fed­eral ap­proval to im­pose a time limit on Med­i­caid en­roll­ment. The CMS, how­ever, de­nied its bid to re­quire ben­e­fi­cia­ries un­dergo drug test­ing.

Un­der the waiver, Med­i­caid ben­e­fi­cia­ries must doc­u­ment and re­port 80 hours per month of ei­ther vol­un­teer­ing or work-re­lated ac­tiv­i­ties, or risk be­ing kicked out of the pro­gram. The man­date won’t ap­ply to disabled or men­tally ill in­di­vid­u­als as well as sole pri­mary care­givers and chil­dren.

There will be a new, 48-month, non­con­sec­u­tive time limit for en­rollees be­tween the ages of 19 and 49 who don’t meet the work re­quire­ment. After four years, the state will lock en­rollees out of cover­age for six months.

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