Could You Remain Eligible for Medicaid and Still Lose Coverage?
In this interview, Robert Powell, CFP®, sits down with elder law attorney Harry Margolis, author of “Get Your Ducks in a Row,” to unpack why sweeping procedural shifts—including new 80-hour monthly work mandates and six-month recertifications—threaten to kick eligible Americans off Medicaid rolls purely due to paperwork bottlenecks.
Key Discussion Points
- 00:00 – Introduction: The Medicaid Administrative Trap
- 01:10 – The 2 Big Shifts: Work Mandates & 6-Month Recertification
- 02:35 – The Exemption Problem: Proving Disability or Family Caregiving
- 04:00 – “Falling Through the Cracks”: When State Agencies Get Overwhelmed
- 05:30 – Where to Find Help: Senior Centers & Disability Advocacy Groups
- 06:45 – The 2027 Timeline: Ages 19–64 & The 80-Hour Monthly Threshold
- 08:15 – Why Family Caregivers Are Hit Hardest
Core Strategic Takeaways
- Procedural Disenrollment: Beneficiaries aren’t losing coverage because their income is too high; they are being dropped because documents get lost or county offices fail to answer calls.
- The Burden of Proof: Documenting informal work hours, caregiving for an elderly parent or sick child, or an invisible disability requires organized medical and financial paper trails.
- Prepare Early: With federal mandates taking full effect by January 1, 2027 (and some states rolling out rules earlier), gathering records now is essential to surviving twice-yearly reviews.
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