Description

Surviving the 80-Hour Rule: Preparing for Medicaid Work Requirements

From Policy to Practice: Implementing Medicaid Work Requirements Before 2027

This webinar is structured to move participants from foundational understanding to actionable implementation strategies. It begins with an overview of the CMS Medicaid work requirements rule, including key provisions such as the 80-hour monthly activity threshold and the populations affected. This ensures that attendees clearly understand the policy framework before diving into operational considerations. The next section focuses on identifying impacted populations and understanding exemptions, which are critical to ensuring accurate eligibility decisions and avoiding improper disenrollment.

Following this, the webinar explores operational and financial risks associated with the rule, emphasizing how administrative failures—rather than patient noncompliance—are the primary drivers of coverage loss. The core of the session is dedicated to a comprehensive compliance checklist, which outlines specific actions organizations must take to align with federal and state requirements. This includes eligibility verification processes, documentation standards, exemption tracking, patient communication strategies, and audit preparedness.

The session concludes with a practical action plan, providing attendees with clear, step-by-step recommendations for implementation.

Areas Covered:-

• Explain CMS Medicaid work requirement rule
• Identify impacted populations & exemptions
• Understand operational and compliance implications
• Develop organizational readiness strategies

Background:-

The new CMS rule on Medicaid work requirements is expected to reshape coverage for millions of Americans. Beginning in January 2027, able-bodied adults aged 19–64 may be required to complete at least 80 hours per month of work, job training, education, or community engagement activities to maintain Medicaid eligibility, subject to applicable exemptions and state implementation requirements.

For providers, health plans, and state agencies, this creates a critical window to develop verification processes, minimize coverage disruptions, and maintain compliance readiness. This webinar will bring together policy experts, implementation leaders, and patient advocates to discuss the requirements, lessons learned from previous state demonstrations, and practical strategies organizations can use to prepare for implementation.

Why Should You Attend:-

Attendees will leave this webinar with both knowledge and practical tools for immediate application to ensure compliance with the Medicaid work requirements rule.​

Who Should Attend:-

• Hospital and health system compliance leaders
• Revenue cycle and reimbursement professionals
• Medicaid Managed Care Organization (MCO) executives
• State Medicaid agency directors and program staff
• Patient navigators, care coordinators, and social workers
• Health policy analysts and government affairs professionals
• Community Health Centers (FQHCs) and safety-net providers
• Healthcare attorneys and regulatory consultants.