Most people who lost Medicaid under work requirements actually qualified.
In Arkansas's 2018 pilot — the only state to implement work requirements before courts struck them down — 95% of people who lost coverage were working, exempt, or both. They failed the paperwork, not the requirement. We generate the physician-signed medical frailty attestation. You keep your coverage.
Up to 10.1 million people could lose Medicaid by 2028.
Most of them qualify for an exemption. The problem is documentation, not eligibility. In Arkansas's 2018 pilot, 95% of people who lost coverage were exempt or working — they failed the paperwork, not the requirement. The same failure is about to happen at national scale.
Identify patients who need structured home support before they leave your facility.
medfrail.com generates a physician-signed frailty attestation that travels with the patient. It documents the care gap so your team, the patient's family, and any home care service all start from the same baseline. Fewer calls back. Fewer readmissions.
Partner with us on discharge documentationKnow what to watch for in the first week home.
The 72 hours after hospital discharge are the highest-risk window. A frailty attestation is the first step — it documents your family member's condition and flags which daily activities are at risk. Use it to structure care, qualify for HSA/FSA coverage, and brief any home caregiver on exactly what matters.
Get an attestation for my family memberThree steps. One physician. Twenty-four hours.
Every attestation is reviewed and signed by a licensed physician matched to your condition.
Upload records
Drop in your medical history, diagnoses, medications, and any prior physician letters. Takes five minutes. We handle intake through a secure HIPAA-compliant form.
Physician review
A licensed physician in your state reviews your file and — if appropriate — drafts an attestation against the federal OBBBA medical frailty criteria. 50-state licensed. Matched to your condition.
Keep your coverage
You receive a signed, timestamped, audit-ready PDF with citation to the specific OBBBA criteria you meet. Submit it to your state Medicaid agency. You keep your coverage.
Tap every category that applies to you. See your likely exemption status.
Federal law names eight categories. You only need one. This is not a medical or legal determination — it is an orientation. A physician makes the actual assessment when you start.
This self-check is educational, not a legal or medical determination. One selected category is sufficient to start the attestation process. A licensed physician makes the final determination.
Frailty is not a feeling. It's a measured clinical state.
Clinicians describe frailty on a 1-to-9 scale — from very fit to terminally ill. Move through it below to see what each level means for daily life, and what it implies for care planning. This is the same vocabulary a physician uses when writing your attestation.
Educational illustration of the Clinical Frailty Scale (Rockwood et al., Canadian Study of Health and Aging).
Plain-language summary only — not a diagnosis. A frailty level is assigned by a clinician reviewing your full history.
medfrail.com matches you to a licensed physician who makes that assessment for your attestation.
Enrollees, health plans, and providers — same attestation engine.
I might lose my Medicaid.
You've heard about the new work requirements and you're worried. Upload your records, we match you to a licensed physician, you get a signed attestation in 24 hours.
My members are at risk.
Every enrollee who churns off costs you capitation revenue. medfrail.com is built to clear frail members through exemption at scale — protecting your book without your staff doing the work.
My patients need documentation.
Your safety-net patients maintain coverage and you maintain reimbursement. We plug into your EHR, generate attestations for your frail panel, your revenue cycle stays intact.
Built for defensibility. Made to scale.
What our physician of record signs — and what they won't.
Our physician of record handles medfrail attestations. A physician drafts “if appropriate” — and that phrase is doing real work. Here is what it means.
- ✓ Attestations the record supports. A licensed physician reviews your file and — if appropriate — drafts an attestation against the federal OBBBA medical frailty criteria.
- ✓ Any of the eight federal categories. Disability, serious or complex medical condition, substance use disorder, disabling mental disorder, caregiving role, pregnancy or postpartum, foster youth, veteran with total disability. You only need one.
- ✓ Audit-ready documents. A signed, timestamped PDF with citation to the specific OBBBA criteria you meet.
- ✓ Only what a physician has reviewed. Every attestation is reviewed and signed by a licensed physician — none is submitted without that signature.
- ✗ Files with a documentation gap. A draft that doesn’t hold up goes back for clarification or additional records — not into the signature queue.
- ✗ Frailty where there isn’t any. On the 1–9 clinical frailty scale above, levels 1–3 — very fit, fit, managing well — are unlikely to qualify.
- ✗ Your state’s decision. Final eligibility determinations are made by your state Medicaid agency — an attestation is evidence, not a verdict.
- ✗ Legal representation. We are not legal representatives. We generate medical documentation reviewed and signed by licensed physicians.
Start your attestation. Keep your coverage.
AI-drafted. Reviewed and signed by a licensed physician. Delivered in 24 hours.