6月1日,医疗保险和医疗补助服务中心(CMS)发布了一项备受期待的临时最终规定,将指导各州实施医疗补助工作要求。值得注意的是,该规定采用了对医疗虚弱的限制性定义,这与各州早先的预期不同,并将医疗虚弱与个人满足社区参与要求的能力挂钩,包括工作或志愿活动。CMS指出,各州使用的名单将接受审计,如果发现各州在没有充分证据支持其身体、精神或其他行为健康状况严重影响其遵守社区参与要求的能力的情况下,就判定个人医疗虚弱,那么这些州将不符合规定,并可能面临经济处罚。各州在向个人索取信息之前,必须使用前12个月的索赔和就诊数据来核实医疗虚弱状况;然而,仅凭索赔数据很难核实个人工作能力。
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