Wire · regulatory
CMS Medicaid work requirement guidance adds medical frailty rules
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Fusion42 · 14 September 2026 · Fusion42 review
The Centers for Medicaid and Medicare Services (CMS) has issued detailed guidance on how states should determine medical frailty exemptions for Medicaid work requirements, adding clarity to eligibility criteria.
This Wire brief sits within Fusion42's coverage of Healthtech Infrastructure.
◆ ◆ The Wire takeaway
You must update your Medicaid product and compliance frameworks immediately to reflect clearer medical frailty exemption rules. This change opens a door to supporting states in navigating new eligibility rules and avoiding sanctions.
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1 source · 14 Sep 2026
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