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Advisory Opinion 24-01 on Medicaid Section 1115 Demonstrations Imposing Work Requirements December 11, 2024

This Advisory Opinion explains that the Secretary lacks authority to approve Medicaid demonstration projects that impose requirements to work, look for work, study, volunteer, or undertake related activities for a minimum number of hours per month as a condition of Medicaid eligibility or continued enrollment.

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Issued by: Office of the General Counsel (OGC)

Issue Date: December 11, 2024

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.