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WASHINGTON — The Centers for Medicare and Medicaid Services this week released guidance for states allowing them to use a “tier system” to determine which Medicaid recipients are too ill to work or volunteer at least 20 hours per week.
The decision, discussed internally with state Medicaid leaders in recent days, was made public via a document earlier this week. It came as a small relief to patient advocacy groups and some medical associations that had criticized “medical frailty” exemptions as confusing and potentially burdensome for patients and medical providers.
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