The CMS-0057 rule regulates health plans, not practices, but administrators are the ones who have to get the EHR and billing vendor conversations right.
Blog|Articles|October 21, 2026
Three questions at check-in could keep your Medicaid patients covered in 2027
Author(s)Keith A. Reynolds
Fact checked by: Chris Mazzolini
Nearly half of Medicaid members aren't ready for Jan. 1 work rules. Our new handbook shows the front desk how to keep eligible patients covered.
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A patient checks in for a follow-up visit in February. She works 30 hours a week, more than enough to meet Medicaid's new rules. She never opened the letter asking her to prove it, and the eligibility check comes back terminated.
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