The recent release of new Medicaid work and community engagement requirements has raised nearly as many questions as it answers about who will and who will not be eligible for Medicaid when the new criteria take effect next year.

While the work and community engagement requirements themselves are relatively straightforward, questions remain about the medical frailty exception and who, based on their medical condition, will be exempt from the work or community engagement requirement.

A number of sources have reported on the medical frailty exception.

• NY Times – “Trump Administration Announces Stricter Rules for Medicaid Work Requirement”
• Health Affairs – “Medical Frailty Rule Contravenes HR 1, Burdens The Health Care System, And Threatens Public Health”
• Harvard T.H. Chan School of Public Health – “New Medicaid work rules could lead to greater-than-expected coverage losses, administrative hurdles”
• Fierce Healthcare – “AMA issues policy urging exemptions in upcoming Medicaid work requirements”
• KFF – “CMS Requires More Restrictive Definition of Medical Frailty in New Medicaid Work Requirements Rule”
• National Law Review – “CMS Issues Interim Final Rule on Medicaid Work Requirements”
• Politico – “How sick is sick enough? New Medicaid work rule worries patient advocates, states”
• Center on Budget and Policy Priorities – “Administration’s Last-Minute Restrictions Likely to Worsen Impact of Medicaid Work Requirement”
• MedPage Today – “Too Sick to Work, but Can They Prove It? New Medicaid Rule Worries Patients”