In this episode, host Michelle Gady once again helms the mic to discuss the implications of Medicaid work requirements we have already begun to witness in Nebraska and Montana. Who will lose coverage when 40 more states run the same process this coming January—and will they lose their coverage because they don’t meet the requirements, or because they didn’t answer the mail? Michealle explores the preparations being made in Washington, North Carolina, and Connecticut for these massive upcoming changes. Sources Atrómitos, "A Bad Penny Always Turns Up," Michealle Gady, May 2, 2023. https://www.atromitosconsulting.com/bad-penny/KFF, "Early Medicaid Work Requirement Insights From Nebraska". https://www.kff.org/medicaid/early-medicaid-work-requirement-insights-from-nebraska/KFF Health News, "Confusion and Angst Follow State’s Early Rollout of Medicaid Work Rules" (Montana). https://kffhealthnews.org/medicaid/medicaid-work-rules-requirements-worries-dropped-coverage-montana/Washington State Health Care Authority, Apple Health work requirements. https://www.hca.wa.gov/free-or-low-cost-health-care/i-need-medical-dental-or-vision-care/apple-health-medicaid-work-requirementsNC Medicaid, "Medicaid is Changing in 2026-27". https://medicaid.ncdhhs.gov/beneficiaries/medicaid-is-changingConnecticut Department of Social Services, HR1 work rule changes. https://portal.ct.gov/dss/all-programs/dss-benefits-and-hr1/hr1-for-members/hr1-work-rule-changesMassachusetts Attorney General, multistate lawsuit over the Medicaid work requirements rule. https://www.mass.gov/news/ag-campbell-sues-trump-administration-over-unlawful-medicaid-work-requirements-ruleThe Current GA, "Georgia’s Medicaid work requirement program spent twice as much onadministrative costs as on health care, GAO says," September 24, 2025. https://thecurrentga.org/2025/09/24/georgia-pathways-medicaid-work-requirement-gao-report/Washington State Health Care Authority, “Client notices about federal work requirements are coming soon,” September 3, 2026. https://content.govdelivery.com/bulletins/gd/WAHCA-427fa12Becker’s Payer Issues, “5 governors push HHS to delay Medicaid work requirements,” October 2, 2026. https://www.beckerspayer.com/payer/medicaid/5-governors-push-hhs-to-delay-medicaid-work-requirements/Georgetown University Health Care Litigation Tracker, Commonwealth of Massachusetts v. Oz. https://litigationtracker.law.georgetown.edu/litigation/commonwealth-of-massachusetts-et-al-v-oz-et-al/KFF, “Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements.” https://www.kff.org/medicaid/medicaid-work-requirements-tracker-overview/Resources for Listeners If you have Medicaid in Washington (Apple Health) Washington State Health Care Authority, Apple Health work requirements, including a short survey to see whether you need to take action. Apple Health customer service, 1-800-562-3022. https://www.hca.wa.gov/free-or-low-cost-health-care/i-need-medical-dental-or-vision-care/apple-health-medicaid-work-requirementsWashington Healthplanfinder, to update your contact information, report changes, and find free in-person help. 1-855-923-4633. https://www.wahealthplanfinder.orgNorthwest Justice Project, Apple Health (Medicaid) work requirements guide on Washington Law Help. For free civil legal help, call the CLEAR hotline, 1-888-201-1014 (outside King County; in King County, dial 2-1-1). https://www.washingtonlawhelp.org/apple-health-medicaid-work-requirementsIf you have Medicaid in North Carolina NC Medicaid, The Work and Community Engagement Requirement, with a step-by-stepguide to exemptions and what counts. NC Medicaid Contact Center, 888-245-0179. https://medicaid.ncdhhs.gov/beneficiaries/impact-hr-1-and-federal-changes-medicaid/nc-medicaid-work-and-community-engagement-requirementsNC Medicaid Ombudsman, free help understanding notices and resolving problems. 1-877-201-3750. https://medicaid.ncdhhs.gov/about-nc-medicaid/nc-medicaid-ombudsmanLegal Aid of North Carolina, Medicaid Rights clinic series. For help with a Medicaid denial or reduction, call the Legal Aid Helpline, 1-866-219-5262. https://legalaidnc.org/clinic/medicaid-managed-care/If you have Medicaid in Connecticut (HUSKY D) Connecticut Department of Social Services, HR1 work rule changes, with a prescreener and member toolkit. https://portal.ct.gov/dss/all-programs/dss-benefits-and-hr1/hr1-for-members/hr1-work-rule-changesConnecticut Association for Community Action, the statewide association of community action agencies. (860) 832-9438. https://www.cafca.orgHUSKY Health Member Services, for questions about your benefits and finding a provider. 1-800-859-9889. https://portal.ct.gov/HUSKY/WelcomeAnywhere in the country Dial 2-1-1 for local referrals to health coverage help, or contact your state Medicaid agency using the number on your Medicaid card or notices. https://www.211.orgFor state agencies, providers, community organizations, and funders National Health Law Program, Recommendations for State Reporting of Work Requirement Outcomes, on what states should report about coverage losses under work requirements. https://healthlaw.org/resource/recommendations-for-state-reporting-of-work-requirement-outcomes-dos-and-donts/Georgetown University Center for Children and Families, Tracking State Readiness to Implement HR 1, including state call center wait times and abandonment rates. https://ccf.georgetown.edu/2025/08/28/tracking-state-readiness-to-implement-hr-1/American College of Physicians, Toolkit on Medicaid Work and Community Engagement Requirements for physicians and advocates. https://www.acponline.org/advocacy/state-health-policy/toolkit-medicaid-work-and-community-engagement-requirementsKFF, “Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements,” with states’ reported implementation plans. https://www.kff.org/medicaid/medicaid-work-requirements-tracker-overviewAtrómitos Knowledge Hub Promo -- This podcast is a production of Atrómitos, a woman-owned boutique consulting firm creating a better way for our health and human services provider clients to achieve their goals by strengthening internal operations, enhancing financial stability and evaluating public policies. 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