Templates & Toolkits | Sep 15, 2025

Mandatory Medicaid Work Reporting: Implementation Requirements and Decision Points

Kinda Serafi, Lisa Sbrana and Liz Dervan, Manatt Health

While H.R.1’s mandatory work reporting requirements are prescriptive, states must still make a number of policy and operational decisions that will heavily influence whether eligible individuals are able to enroll in and retain coverage. States will be required to implement changes resulting from these decisions while also adhering to longstanding statutory and regulatory requirements. This toolkit details the federal requirements for various features of the mandatory work reporting requirements, outlines state policy and operational options, and provides key considerations related to maximizing efficiencies and mitigating coverage losses.

Additional toolkits in this series include: Medicaid Work Reporting Requirements: Implementation Planning Milestones and Medicaid Work Reporting Requirements: Verifying Compliance and Exemptions.