The 2025 budget reconciliation bill (H.R. 1) introduced new federal Medicaid work requirements for certain members. Implementing this policy poses challenges for state Medicaid agencies, including an increased risk of coverage disruptions for non-exempt members. However, states can take proactive steps to help mitigate these risks. This series from the Center for Health Care Strategies outlines key details about the new requirements and offers practical approaches to support implementation that minimizes administrative burden and is informed by the experiences of Medicaid members.

• Building Nimble Procurement Approaches for State Medicaid Tech Systems: This tipsheet draws on Alaska Medicaid’s experience as leader in procurement agility, having invested in this transformation for almost a decade. It outlines best practices states can use to improve their processes within existing procurement authorities. (April 2026)
• Data and Analytic Approaches for Medical Frailty Exemptions to Federal Medicaid Work Requirements: This tipsheet draws on lessons from experts at the Harvard T.H. Chan School of Public Health, the Aspen Institute, and Katch Strategies on data and analytic approaches for the medical frailty exemption. It shares considerations to help streamline state adoption of the medical frailty exemption and minimize Medicaid application and renewal barriers for medically frail members. (April 2026)
• Aligning Work Requirements Across SNAP and Medicaid to Support Public Benefit Continuity: This brief compares key features of the work requirements in SNAP and Medicaid, and outlines strategies for state Medicaid agencies, SNAP-administering organizations, and other stakeholders to coordinate implementation across both programs. (October 2025)
• Strengthening Cross-Agency Collaboration Across Medicaid and Other State Partners to Support Work Requirements Implementation: This brief outlines opportunities for Medicaid agencies to collaborate with partners in labor, education, corrections, SNAP, TANF, and other agencies to successfully address implementation challenges and maintain member coverage. (September 2025)
• Connecting Medicaid Members to Work: Expanding Access to Evidence-Based Employment Models: This Evidence Roundup outlines the evidence behind general workforce and supported employment programs and includes resources state agencies can use to prepare for work requirements implementation. (August 2025)
• Engaging Medicaid Members and Community-Based Organizations in Medicaid Work Requirements Implementation: This brief outlines approaches states can use to partner directly with Medicaid members and community-based organizations in implementing work requirements that reflect community input and minimize coverage disruptions. (July 2025)
• A Summary of Federal Medicaid Work Requirements: This Policy Cheat Sheet synthesizes key details of the new federal Medicaid work requirements, including timeline, populations impacted, exemption categories, and more. (July 2025)