Work requirements and six-month renewals hit the expansion population starting January 1, 2027. Pick your health center and we'll pull its HRSA UDS profile, show the adult Medicaid population HR1 touches, and size what Elora keeps enrolled.
Across renewal work, 3% to 16% of Medicaid members would otherwise drop off because they don't respond to notices or don't document work hours and exemptions well. Move the slider to project that range onto this center's — expansion adults. Actual outcomes vary with reachability and language mix.
Shares from KFF's analysis of Medicaid adults 19–64 (2023 CPS), applied to this center's subject pool. Everyone in the pool must document status every six months; in Arkansas (2018) and Georgia (2023–24) most coverage losses were reporting failures by people who were working or exempt, which is the cohort Elora's outreach targets.
| State | Centers | Patients | Medicaid | Medicaid % | Rev / Medicaid pt | Implied $/visit | Expansion |
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HR1 population = Medicaid adults 18+ (line 8b) × expansion share. H.R. 1's work requirement and six-month renewals apply only to the ACA expansion group (adults 19–64 covered under section 1902(a)(10)(A)(i)(VIII)); parents under traditional limits, pregnant women and people on disability are not subject. UDS does not report eligibility pathway, so the default share is the state's expansion adults ÷ (expansion adults + other adults + people with disabilities) from KFF's analysis of T-MSIS 2024, editable. UDS counts each patient once by primary coverage, so dual eligibles (line 9a) sit inside the Medicare line (line 9), not the Medicaid line; they are already outside this pool.(Table 9D line 3: collected + wraparound c1 + c2 + other c3) ÷ Medicaid patients from the center's own report; about 47% of centers suppress Table 9D, and those use the state average of reporting centers. PPS basis = PPS rate × visits per patient; the default implied rate is state Medicaid collections ÷ estimated Medicaid visits and includes wraparound and P4P, so it runs above a bare PPS encounter rate.