Harsh P. Parikh

speaker

227 appearances 1 recordings 1 series first heard Jul 2026 last heard 17 Jul

Harsh P. Parikh’s voice in public audio — every appearance, attributed to the second.

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Recordings per month over the last 12 months — 1 in all, peaking in Jul 2026 with 1.

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AHLA's Speaking of Health Law · One Year In: Implementing the Medicaid Provisions of the Working Families Tax Cut Act · 17 Jul 2026 podcast

Blind disabled people, people with physical or intellectual disabilities, substance use disorder, dis uh disabling mental illnesses, other complex conditions.

But on paper, although that looks big, as we'll talk about with Ann and Lloyd, that may not be uh actually how the law is implicated.

So the headline from our last episode is that the interim final rule has actually dropped.

On June 1, 2026, the Centers for Medicare and Medicaid published the community engagement requirements with an interim final rule that is going to be effective at the end of this month, July 31, 2026.

Comments are due the same day, and states must implement these requirements.

no later than January one, twenty twenty-seven.

The statute mandates the rule that the rule was be promulgated by June 1, and CMS hit that deadline.

And were you surprised by that, the fact that CMS came out with this rule when um it was supposed to?

Yeah, so and you've been living in the weeds of uh implementation and how different states have uh begun uh taking steps to meet these mandates.

Uh tell us what's actually changed between when the law was passed and the rule and why that matters for states, healthcare providers that see Medicaid patients, as well as beneficiaries across the country.

So there's gonna be a lot more complicated than I think folks.

Yeah, and and before we get to the lawsuit, you know, there there is this idea in the regs about self-attestation, right?

The statute preserves, you know, individuals saying, Yes, I have this condition that prevents me from

finding community engagement, whatever.

Um, but the problem with that is that can only be used once per enrollment.

So so maybe right, a beneficiary can say, uh, you know, self-test, but essentially the the rules are requiring more.

And as you're saying, Anne, it's complicated.

You can't just say, well, if this diagnosis appears in the medical record, this individual has satisfied um, you know

These obligations or or is exempt from these work requirements.

So Lloyd, maybe this is this is a good sort of pivot to talking about the the lawsuit, right?

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