NACHC Recommends CHCs as Volunteer Sites to Fulfill Medicaid Work Requirements — CMS Rule Expected June 2026
NACHC issued updated guidance on Medicaid work requirements (80 hrs/month, effective Dec 31, 2026). Key recommendation: states should permit patients to volunteer at health centers to fulfill work requirements — preserving patient volumes AND satisfying the mandate.
CBO estimates 10.9M patients will lose coverage. Arkansas precedent: 18,000 lost coverage (28% of target population). Georgia: only 20% of work requirement program funding went to health services.
Implementation costs projected at hundreds of millions per state. CMS interim final rule expected by June 2026.
Primary source
NACHCFQHC Talent. (2026, March 20). NACHC Recommends CHCs as Volunteer Sites to Fulfill Medicaid Work Requirements — CMS Rule Expected June 2026. Primary source: NACHC. Retrieved June 12, 2026, from https://www.fqhctalent.com/intel/nachc-work-requirements-volunteer-site-strategy
More in Legislation
Jun 10
The work-requirement map, 6 months out: 4 states going early, Nebraska's freeze is the preview, and Georgia's 5% enrollment rate is the warning
Jun 10
MACPAC's June report hands FQHCs two federal hooks: a work-requirement monitoring mandate and a human-review requirement for AI prior-auth denials
Jun 9
Washington's 340B protection law survives — and the national map now splits clean: 22 state laws, two circuits upholding, one blocking, DOJ siding with manufacturers
Jun 5
Becerra Tops the June 2 Governor Primary and Advances to November — Putting a Former HHS Secretary in Reach of the Office, but Not Until After the December Cliff