Templates & Toolkits | Feb 2, 2026

Medical Frailty Project Workplan

Kinda Serafi and Lauren Sears, Manatt Health

Under H.R.1, states implementing Medicaid work reporting requirements must exempt individuals who are medically frail.  Ensuring that medically frail individuals are identified in an accurate and timely way is a core implementation requirement—not only to protect eligible individuals whom Congress intended to exempt but also to reduce administrative burden for states. With an effective date less than a year away, time is of the essence. State Health and Value Strategies and Manatt Health developed this structured Medical Frailty Project Workplan, which lays out a sequenced, implementation-ready approach for operationalizing the exemption.