States rely on consultants to enforce Trump-era Medicaid work rules

TL;DR
States are paying Deloitte, Accenture, Optum and other contractors millions to update Medicaid and SNAP eligibility systems to implement Trump’s work requirements, a move likely to drive up upfront costs while analysts project about 7.5 million fewer people could be uninsured by 2034 and roughly 2.4 million losing food assistance; Wisconsin, Iowa, Kentucky, Illinois and Vermont are among states lining up multi-million-dollar contracts as the federal government foots most of the bill.
- States pay Deloitte, others millions to comply with Trump law to cut Medicaid rolls CBS News
- Over 200,000 people could lose MassHealth under coming federal changes, report says The Boston Globe
- States Struggle with Medicaid Requirements Center for the Study of Federalism
- How State Flexibility Shapes Who Keeps Medicaid impactpolicies.org
- With federal changes coming to Medicaid, NJ pursues ways to keep people enrolled New Jersey Monitor
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