By Disability Belongs Staff | Staff
Work Requirements Don’t Work: Protecting Medicaid Coverage
Medicaid is a cornerstone of healthcare and independence for millions of disabled people and their families. It provides essential medical care, long-term services, and community supports that make it possible for people to participate fully in everyday life.
A recent federal Interim Final Rule from the Centers for Medicare & Medicaid Services (CMS) introduces new work and community engagement requirements for certain Medicaid enrollees. While some disabled people, people with serious health conditions, and caregivers may be exempt, Disability Belongs™ is concerned that the policy still creates significant administrative barriers that could put coverage at risk.
Even when someone qualifies for an exemption, keeping Medicaid may depend on navigating complex systems. That includes responding to notices, gathering documentation, meeting reporting deadlines, and repeating verification processes over time. Coverage can be disrupted not only by eligibility decisions, but by paperwork barriers, inaccessible systems, delays, or unclear requirements.
Evidence from previous state implementation shows that Medicaid work requirements do not increase employment, but do lead to coverage loss, including in Arkansas, as analyzed by Kaiser Family Foundation. For disabled people and people with fluctuating or serious health conditions, these risks are especially significant.
This is where Disability Belongs™ steps in. Our policy and advocacy work focuses on ensuring disability rights are protected in real-time policymaking and that systems designed to support people do not unintentionally exclude them through administrative burden.
We are working to ensure that disabled people are not wrongfully denied or removed from Medicaid because of reporting requirements, verification challenges, or confusing eligibility systems. We are also elevating the voices of disabled people and caregivers in federal decision-making so lived experience is reflected in policy outcomes.
This is what our mission looks like in practice. It is about protecting access to care, removing unnecessary barriers, and making sure disabled people are not pushed out of essential systems because of paperwork.
Disability Impact Awards
From July 13th - 16th, Disability Belongs™ will bring together advocates, leaders, partners, and supporters from across the country in Washington, D.C. to recognize disability leadership and advance our shared vision of belonging. The week will combine Disability Advocacy Week on Capitol Hill with the fifth annual Disability Impact Awards on July 16th, highlighting both policy progress and the people driving cultural change.
Together, these moments will create space to celebrate disability leadership in action while advancing conversations with policymakers about the priorities that matter most to disabled people and their communities.
[Learn more about the annual Disability Impact Awards.]
Accessibility Tips to Know Before You Travel
Planning ahead can make a meaningful difference in how smoothly travel goes, especially when navigating airports, hotels, and ground transportation, where accessibility can vary. This free resource brings together practical, easy-to-use tips to help you prepare in advance, understand your rights, and identify key questions to ask so you can reduce barriers and travel with greater confidence and clarity. It is designed to support more informed decision-making at every stage of the journey.
Supporting Disability Belongs™
Disability Belongs™ is committed to using every contribution to advance disability inclusion, accessibility, advocacy, and authentic representation. Click here to help sustain this critical work.
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By Disability Belongs | Staff
By Allyson Mills | Staff
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