06/06/2026
From DDD: The Department of Human Services' DMAHS is actively reviewing the CMS guidance on HR‑1 implementation that was released this week. This guidance outlines the federal requirements for implementing work requirements for the Medicaid expansion population beginning January 1, 2027, and our teams are working through the details to develop the appropriate policies and procedures.
For individuals with intellectual and developmental disabilities (I/DD), it may be helpful to note that the vast majority of DDD waiver enrollees qualify for Medicaid through the Aged, Blind, and Disabled (ABD) eligibility pathway, which is not subject to the new work requirements. However, a small number of individuals may currently be enrolled through the Medicaid expansion category, and those individuals could be subject to the federal work requirement rules once implemented.
We are working to assess the scope of this and ensure that any impacted individuals are identified and supported appropriately. More detailed information about these processes will be available in the coming months as we continue to analyze the federal guidance and develop our implementation plan. DMAHS will post relevant updates on this important topic at Federal Changes to NJ FamilyCare/Medicaid | Division of Medical Assistance and Health Services.