{"id":1400345,"date":"2026-07-27T18:36:02","date_gmt":"2026-07-27T22:36:02","guid":{"rendered":"https:\/\/fcsn.org\/?p=1400345"},"modified":"2026-07-27T18:44:42","modified_gmt":"2026-07-27T22:44:42","slug":"a-note-from-our-executive-director-on-the-medicaid-interim-final-rule","status":"publish","type":"post","link":"https:\/\/fcsn.org\/es\/a-note-from-our-executive-director-on-the-medicaid-interim-final-rule\/","title":{"rendered":"A Note from Our Executive Director on the Medicaid Interim Final Rule"},"content":{"rendered":"<p>By Patricia Nellius, Executive Director, Federation for Children with Special Needs<\/p>\n<p>Dear Community:<\/p>\n<p>The Centers for Medicare &amp; Medicaid Services (CMS) has released an <strong>Interim Final Rule (IFR)<\/strong> that provides guidance to states on implementing the new mandatory Medicaid work reporting requirements under HR1.<\/p>\n<h2>What&#8217;s at Stake<\/h2>\n<p>The IFR includes policies that will likely lead to even greater Medicaid coverage losses. These changes are expected to make implementation more difficult for states and increase the likelihood of Medicaid coverage losses. Two major changes include:<\/p>\n<ul>\n<li><strong>Narrows the medical frailty exemption.<\/strong> The IFR limits HR1&#8217;s exemption to people deemed unable to work, putting those with serious or complex conditions at risk of losing coverage.<\/li>\n<li><strong>Increases documentation requirements.<\/strong> States must reverify medical frailty annually, and most enrollees will lose the option to self-attest starting in 2028, adding burdens for patients, providers, and states.<\/li>\n<\/ul>\n<h2>What You Can Do<\/h2>\n<p>CMS is taking public comment on this IFR <strong>until July 31<\/strong>. This comment period is an opportunity to engage policymakers, partners, and the press, and educate them about the dangers this rule poses to people with Medicaid coverage. We encourage you to <a href=\"https:\/\/www.federalregister.gov\/documents\/2026\/06\/03\/2026-11094\/medicaid-program-community-engagement-requirement-for-certain-individuals\" target=\"_blank\" rel=\"noopener\">submit comments<\/a> before <strong>July 31, 2026<\/strong>, and share:<\/p>\n<ul>\n<li>How the IFR may create unnecessary barriers to maintaining coverage.<\/li>\n<li>Concerns about the medical frailty definition and documentation requirements.<\/li>\n<li>The challenges states, providers, and beneficiaries will face implementing these requirements by January 1, 2027.<\/li>\n<li>The potential for increased coverage losses and administrative burden.<\/li>\n<\/ul>\n<p>Whenever possible, make your comments personal and specific. Unique comments are more impactful than copied template responses. Even though CMS can move forward with the rule while comments are under review, public feedback helps demonstrate the real-world impact these changes could have on individuals, families, providers, and communities.<\/p>\n<p>Thank you,<\/p>\n<p>Patricia Nellius<br \/>Executive Director<br \/>Federation for Children with Special Needs<\/p>\n<p>Read the rule and submit a comment here: <a href=\"https:\/\/www.federalregister.gov\/documents\/2026\/06\/03\/2026-11094\/medicaid-program-community-engagement-requirement-for-certain-individuals\" target=\"_blank\" rel=\"noopener\">Medicaid Program: Community Engagement Requirement for Certain Individuals<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Patricia Nellius, Executive Director \u2014 CMS has released an Interim Final Rule on Medicaid work reporting requirements. Public comments are due July 31, 2026.<\/p>\n","protected":false},"author":62,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[38],"tags":[],"class_list":["post-1400345","post","type-post","status-publish","format-standard","hentry","category-latest-news"],"translation":{"provider":"WPGlobus","version":"3.0.2","language":"es","enabled_languages":["en","es","pt","ar","zh","vi"],"languages":{"en":{"title":true,"content":true,"excerpt":true},"es":{"title":false,"content":false,"excerpt":false},"pt":{"title":false,"content":false,"excerpt":false},"ar":{"title":false,"content":false,"excerpt":false},"zh":{"title":false,"content":false,"excerpt":false},"vi":{"title":false,"content":false,"excerpt":false}}},"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - 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With extensive experience in the field, she currently serves as the director of Individual Assistance at the Federation for Children with Special Needs. In this role, she connects families, youth with disabilities, and\u2026","rel":"","context":"En \u00abFCSN Staff\u00bb","block_context":{"text":"FCSN Staff","link":"https:\/\/fcsn.org\/es\/category\/fcsn-staff\/"},"img":{"alt_text":"A close-up of Ingrid smiling at the camera.","src":"https:\/\/i0.wp.com\/fcsn.org\/wp-content\/uploads\/2021\/04\/Ingrid-Arvidson.png?fit=400%2C601&ssl=1&resize=350%2C200","width":350,"height":200},"classes":[]},{"id":1102,"url":"https:\/\/fcsn.org\/es\/renee-williams\/","url_meta":{"origin":1400345,"position":4},"title":"Renee Williams","author":"Federation For Children With Special Needs","date":"April 15, 2021","format":false,"excerpt":"Renee Williams is the Associate Executive Director at FCSN. As the parent of a young adult diagnosed with an Autism Spectrum Disorder, she has spent the past 20 years navigating the special education system. After completing the Parent Consultant Training Institute she founded Olive Branch Advocacy LLC which provided Special\u2026","rel":"","context":"En \u00abFCSN Staff\u00bb","block_context":{"text":"FCSN Staff","link":"https:\/\/fcsn.org\/es\/category\/fcsn-staff\/"},"img":{"alt_text":"Renee Williams's portrait.","src":"https:\/\/i0.wp.com\/fcsn.org\/wp-content\/uploads\/2021\/04\/Renee-Williams-2-1.jpg?fit=798%2C1200&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/fcsn.org\/wp-content\/uploads\/2021\/04\/Renee-Williams-2-1.jpg?fit=798%2C1200&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/fcsn.org\/wp-content\/uploads\/2021\/04\/Renee-Williams-2-1.jpg?fit=798%2C1200&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/fcsn.org\/wp-content\/uploads\/2021\/04\/Renee-Williams-2-1.jpg?fit=798%2C1200&ssl=1&resize=700%2C400 2x"},"classes":[]},{"id":1083,"url":"https:\/\/fcsn.org\/es\/ruth-diaz\/","url_meta":{"origin":1400345,"position":5},"title":"Ruth Diaz","author":"Federation For Children With Special Needs","date":"April 15, 2021","format":false,"excerpt":"Ruth M. 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