January 01, 2026
Public Benefits

A Technical Guide for States to Reduce Procedural Terminations from Medicaid’s Work Reporting Requirements

Benefits Tech Advocacy Hub

States are in a very difficult position to change their Medicaid administration systems to implement OBBBA work reporting requirements, and millions of Americans are at risk of losing health coverage, despite the fact that the vast majority of them are working or are exempt from work requirements. This guide offers ways to minimize procedural terminations through decreasing policy and technical complexity, better aligning design choices to recipients’ needs, and creating vendor accountability mechanisms.

Access the guide here.

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Upturn Authors