The Trump administration approved Wisconsin’s waiver request to impose Medicaid work requirements, marking the first “okay” granted for a state that has yet to expand its Medicaid eligibility.
The work requirement is based on achieving at least 80 hours a month working, in school, in job training or doing volunteer community engagement over a 48 month period. If a beneficiary is out of compliance for 48 months, they are dis-enrolled for at least 6 months, when they can re-enroll and begin a new 48 month period. Other provisions included in the waiver includes premiums of up to $8 a month and mandated health and wellness assessments. To help address the opioid crisis, also included is coverage of residential treatment for substance use disorders.
Risky behavior and drug testing are also part of the conversation. The Washington Post examines how Wisconsin will be allowed to ask about behaviors and charge more premium in certain cases, but will not be allowed to do drug testing on Medicaid recipients.
Read about it in Modern Healthcare
And, get another take from the Washington Times