Ohio Is First Mover in What Could Be New Wave of Medicaid Work Requirements

  • Jan 10, 2025

    In the waning days of 2024, Ohio’s Dept. of Medicaid applied for a waiver that would let the state again try to implement a type of demonstration program that the first Donald Trump administration embraced enthusiastically: requiring certain Medicaid enrollees to prove they’re employed or risk losing health coverage.  

    Ohio’s application — which will be reviewed by CMS once Trump takes office for his second term — is likely to be followed by other states filing similar waivers, one health policy expert tells AIS Health, a division of MMIT. And like the spate of work requirements waivers approved during the first Trump administration, the new crop of demonstrations may not be good news for Medicaid managed care organizations. 

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  • Leslie Small

    Leslie has been working in journalism since 2009 and reporting on the health care industry since 2014. She has covered the many ups and downs of the Affordable Care Act exchanges, the failed health insurer mega-mergers, and hundreds of other storylines spanning subjects such as Medicaid managed care, Medicare Advantage, employer-sponsored insurance, and prescription drug coverage. As the managing editor of Health Plan Weekly and Radar on Drug Benefits, she writes and edits for both publications while overseeing a small team of reporters who also focus on the managed care sector. Before joining AIS Health, she was a senior editor for the e-newsletter Fierce Health Payer, and she started her career as a copy editor at multiple local newspapers. She graduated with a dual degree in journalism and political science from Penn State University.

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