Becker's Healthcare September 4, 2025
Andrew Cass

Montana has submitted an application to HHS to add work requirements and enhanced cost-sharing to its Medicaid expansion program.

Under the proposal, “working-age, able-bodied adults” with incomes up to 138% of the federal poverty level will be required to complete at least 80 hours per month of work or other qualifying activities, such as community service, workforce training or educational programs. Enrollees will have to verify compliance at least every six months.

The proposed 1115 Medicaid Demonstration waiver application was submitted to...

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