HHS to file Medicaid state plan amendment under SB134; department warns of complex "medical frailty" and verification work

Jun 19, 2026

DHHS told the Fiscal Committee it will file a Medicaid state plan amendment per SB134 and recommended seeking HHS oversight for certain hardship exceptions; staff warned the federal rule’s medical-frailty requirement adds clinical assessments and the department proposes a phased rollout.

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Director Lipman and Deputy Medicaid Director Olivia May briefed the Fiscal Committee on implementation steps required by Senate Bill 134 and the U.S. Centers for Medicare & Medicaid Services’ interim final rule.

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