How Georgia's Medicaid work requirement program will work

Georgia's Medicaid work requirement program is set to begin July 1, 2023, making it the only state with such requirements, Capital Beat News Service reported Dec. 23. 

Here are five notes on how the program, called Pathways to Coverage, will work:

1. The program will require enrollees to complete 80 hours of work, job training, education or community service per month to receive Medicaid coverage, according to the report.  

2. Enrollees will need to certify their employment each month, according to the report. Those earning more than 50 percent of the federal poverty line will be required to pay a monthly premium costing between $7 and $11. Those who use tobacco products will have to pay an additional surcharge.

3. A two-month grace period will be provided for those who don't pay their premiums, according to the report. After three months, they will lose their coverage and can be reinstated if they make at least one monthly payment within 90 days.   

4. The program will allow for some exceptions to the work-requirement rules and enrollees will be allowed 120 hours of "noncompliance" — not meeting the work requirements — in every 12-month period. 

5. Routine child care is not on the list of exceptions, according to the report. 

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