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MMedical Daily
·31 October 2026

Medicaid ruling removes an extra hurdle for seriously ill enrollees—but work requirements still begin in 2027 - Medical Daily

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Summary

A federal judge ruled that the Centers for Medicare and Medicaid Services cannot require Medicaid enrollees to prove their condition significantly impairs their ability to work in order to qualify for medical frailty exemptions from upcoming work requirements. Starting January 1, 2027, most working-age Medicaid expansion enrollees must work at least 80 hours monthly or face coverage loss, unless they qualify for exemptions including medical frailty.

Key Points

Medicaid enrollees with serious or chronic illnesses will not have to prove that their condition significantly impairs their ability to meet [work requirements](https://www.medicaldaily.com/washington-medicaid-work-requirements-250000-coverage-loss-480249) to qualify as "medically frail," after a federal judge in Boston ruled Oct. 29 that the Centers for Medicare and Medicaid Services (CMS) overst…

This article was originally published by Medical Daily.

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