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Medicaid Work RequiremEnts

Key Issues for the Medical Frailty Exemption from Medicaid Work Requirements

CMS has released new guidance on Medicaid work requirements. For background on the medical frailty exemption, one of the key issues in the new rule, check out KFF's explainer. KFF is closely tracking how states are approaching implementation of Medicaid work requirements and navigating related challenges.

understanding medicaid

Medicaid Financing

Medicaid represents $1 out of every $5 spent on health care in the U.S. and is the major source of financing for states to provide health coverage and long-term care. This brief examines key questions about Medicaid financing and how it works.

Medicaid Program Integrity

This brief explains what is known about improper payments and fraud and abuse in Medicaid and describes ongoing state and federal actions to address program integrity.

Medicaid and Provider Taxes

All states except Alaska cover some state Medicaid costs with taxes on health care providers. This brief uses data from KFF’s 2024-2025 survey of Medicaid directors to describe current practices and the federal rules governing them.

Medicaid and Hospitals

Absorbing reductions in Medicaid spending could be challenging for hospitals, particularly for those that are financially vulnerable. This brief provides data on the reach of Medicaid across hospitals, patients, and charity care.

Medicaid Home Care

This issue brief provides an overview of what Medicaid home care (also known as “home- and community-based services”) is, who is covered, and what services were available in 2025.

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  • New Publications on Immigrant Health Care and Linguistic Access

    Fact Sheet

    In 2000, there were over 32 million foreign-born residents in the U.S. Immigrants often face barriers to health coverage and health services. The disparities confronting immigrants can be similar to those faced by low-income working families generally, but immigrants also face other barriers, including linguistic issues and eligibility changes that have limited their ability to qualify for Medicaid. These new or updated publications address issues related to how race, immigration status, and language affect insurance…

  • Dual Eligibles: Medicaid’s Role in Filling Medicare’s Gaps

    Issue Brief

    Dual Eligibles: Medicaid's Role in Filling Medicare's Gaps - Issue Brief This paper presents a profile of dual eligible beneficiaries (those qualifying for both Medicare and Medicaid), describes their health care expenditures, and analyzes the distribution of spending on the population. Issue Paper (.pdf)

  • The Role of Medicaid in State Economies: A Look at the Research

    Issue Brief

    This policy brief synthesizes the results of 29 studies in 23 states that examine the role Medicaid plays in state and local economies. These studies estimate the economic stimulus derived from Medicaid spending, and also analyze the adverse effects on the state economy from reducing Medicaid spending. This policy brief provides an overview of Medicaid financing, explains the methods used to assess economic impact and summarizes the main findings from the research. Executive Summary (.pdf)…

  • Report: Giving Voice to the People of New Orleans: The Kaiser Post-Katrina Baseline Survey

    Poll Finding

    This May 2007 Kaiser Family Foundation report is the first of several that will track the progress and challenges facing people living in the New Orleans area in the aftermath of Hurricane Katrina. To conduct the study, a team of 41 interviewers visited 456 randomly selected census areas, documented the physical condition of nearly 17,000 housing locations and completed interviews with 1,504 randomly chosen adults living in the four parishes between September and November 2006.…

  • Medicaid’s Federal-State Partnership: Alternatives for Improving Financial Integrity

    Report

    - Report As the federal government increases its scrutiny of state financing of the Medicaid program, this paper, authored by a former CMS official, evaluates the existing financial management of the Medicaid program. Using existing models from the private sector and the government, the paper identifies alternatives to improve Medicaid's financial management without changing Medicaid's existing financing structure. The alternatives would reduce the Medicaid program's exposure to questionable practices, help control federal costs, and make…

  • Turning to Medicaid and SCHIP in an Economic Recession: Conversations with Recent Applicants and Enrollees

    Issue Brief

    This issue brief illuminates the emotional and pocketbook struggles of families who have suffered financial reversals and lost health coverage in the economic recession forcing many to juggle bills, skip prescription medications and postpone visits to the doctor while they scramble to find a new job. Many who once had steady employment and incomes have had to turn to Medicaid and the State Children’s Health Insurance Program for the first time, even as those programs…