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Recent legislation under the OBBBA and other actions had already necessitated changes related to New Yorks waiver, but recent guidance has resulted in three newly impacted areas (new items in bold): Restrictions on future workforce funding Elimination of continuous coverage requirements Children (6 years) Adults (expansion population biannual requirement) New requirements for the AHEAD model The elimination of future designated state health programs Restrictions on the future use of certain social determinants of health programs Limits on the focus on diversity, equity and inclusion Stricter budget neutrality calculations Requirements for community engagement/ work requirements Requirements for premiums and cost sharing for certain services Reduced retroactive eligibility Implementation changes for duplicate enrollment screenings Revised definitions of qualified immigrants Restrictions on Directed Payment Templates This blog focuses on the three newly impacted areaseligibility, enrollment, and coverage changes, healthcare workforce funding changes and the AHEAD model, which are summarized below: 1

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