New Federal Guidance Disrupts North Carolina's Medicaid Work Requirement Implementation

North Carolina's Department of Health and Human Services is re-evaluating its Medicaid work requirement plans following new federal guidance on defining "medically frail" individuals. The state's mandate, set to begin in January, requires many new Medicaid-eligible adults to meet monthly work, volunteering, or schooling hours to maintain coverage. This federal update could significantly alter the state's implementation strategy and budget, potentially impacting coverage for thousands.