In a new article in the Health Affairs Forefront series, titled Reporting Requirements Matter (A Lot): Evidence from Arkansas’s Medicaid Work Requirements, Hilltop Director of Analytics & Research Morgan Henderson, Senior Director of Health Reform Studies Laura Spicer, and Interim Executive Director Alice Middleton discuss their re-examination of 2018-2019 enrollment data from Arkansas Works, the state’s Medicaid work requirement program.
When states enact Medicaid work requirement policies, they also establish reporting processes to discern the work status of Medicaid participants. The Hilltop research team found that the type of reporting process is strongly related to work requirement compliance. In particular, in the Arkansas Medicaid work requirement program, when more individuals were required to manually report their work status (as opposed to their work status being identified through automated data matching by the state), the more individuals were deemed noncompliant with program requirements. Using the Arkansas experience as a model, the authors found that requiring all Medicaid participants to manually report their work requirement status would lead to only 2.3% program compliance. Notably, this result accords with that currently observed in Georgia Pathways, the only currently active Medicaid work requirement program.
The authors hope that this result can be used by states to model the enrollment impacts of potential Medicaid work requirement policies.
Read the article.
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