Indiana FSSA Grapples with Defining Medical Frailty for Medicaid Work Requirements
The Indiana Family and Social Services Administration (FSSA) is still working to define who will qualify for a medical frailty exemption from the state's Healthy Indiana Plan (HIP) work requirements, set to take effect in January. Thousands of low-income Hoosiers insured through HIP, a Medicaid plan for able-bodied adults aged 19-64, will need to demonstrate 80 hours of work, volunteering, or schooling per month to maintain coverage. The federal Centers for Medicare and Medicaid Services (CMS) is redefining medical frailty, narrowing the definition to conditions that significantly impair a person's ability to meet work requirements. This change has created confusion among social workers, non-profit groups, and medical providers who attended a recent town hall hosted by FSSA. Sunshine Beam, director of the Division of Family Resources at Indiana FSSA, stated that someone considered medically frail today might not be under the new guidelines, and the agency is still collaborating with CMS to finalize the exc...