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Kentucky Submits Amendment to add a Work Requirement to its Medicaid Section 1115 Waiver

August 31, 2017

On July 3, 2017, Kentucky submitted an amendment to its Section 1115 waiver proposal, Kentucky HEALTH, which would make changes to Kentucky’s Medicaid expansion. The proposal with its amendment would require all adults covered by the Medicaid expansion, as well as some non-medically-fragile Medicaid enrollees, to work up to 20 hours per week to maintain Medicaid coverage. Competitive integrated employment, job search or job training activities, volunteer work, education, or caring for a relative with a condition that prevents them from working would qualify as work. Most adults with disabilities would not have to adhere to the work requirements. However, the proposal only excludes adults who are “on Medicaid due to a disability.” Expansion of adults and other people with disabilities who did not qualify on the basis of disability for Medicaid would ultimately have to adhere to the work requirements.

The proposal also (a) requires all Medicaid enrollees making over 100 percent of the federal poverty level (FPL) to pay premiums to maintain Medicaid coverage; (b) would create an open enrollment period for Medicaid; it also prohibits people who do not reapply for coverage within the enrollment period, or who fail to pay a premium, from reapplying for coverage for six months; and (c) would add a high-deductible health savings account and an incentive account for purchasing extra coverage.

For more information, read the original Kentucky HEALTH proposal and its amendment.