US HR1 Medicaid Work Requirements IG (proposed, not supported by CMS)
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Exemption Activity

Exemptions

Exemption Category Example Data Source
Medically Frail State Department of Health Records / Physician Certification
Full-time Student National Student Clearinghouse / University Enrollment Database
Pregnant Individuals Medicaid Claims Data / Prenatal Care Provider Attestation
Primary Caregiver School Enrollment Records (for dependents) / State Child Care Licensing Database
Short-term Disability Recipient State Disability Insurance (SDI) Program Data
SSI Recipient/Eligible Social Security Administration (SSA) Data Match
TANF Recipient State TANF Agency Case Management System
Veteran Department of Veterans Affairs (VA) Database
Experiencing Homelessness Homeless Management Information System (HMIS) / Provider Attestation
In Substance Abuse Treatment State Licensed Treatment Facility Records
Under 21 / Over 55 State Department of Vital Records / Self-Attestation

Community Engagement Activities

Satisfying Activity Example Data Source
Employment State Unemployment Insurance (UI) Wage Reporting System
Education/Vocational Training National Student Clearinghouse / Trade School Attendance Records
Job Search Program American Job Center (AJC) Check-in System / Case Management Notes
Community Service Verified Volunteer Organization Timesheets / AmeriCorps Records
Substance Abuse Treatment State Licensed Treatment Facility Attendance Logs
Self-Sufficiency Program State Agency Case Management System / Program Provider Attestation