OBBBA's work requirements take effect January 2027. If you have a health condition, disability, or caregiving role, you may qualify for an exemption — but you have to document it. We match you to a licensed physician who reviews your records and issues a defensible medical frailty attestation in 24 hours.
Most of them actually qualify for an exemption. They just can't prove it in time. In Arkansas's 2018 experiment, 95% of the people who lost coverage qualified or were working — they failed at the documentation, not the requirement.
Every attestation is reviewed and signed by a licensed physician matched to your condition.
Drop in your medical history, diagnoses, medications, and any prior physician letters. Takes five minutes. We handle intake through a secure HIPAA-compliant form.
A licensed physician in your state (starting with Dr. Josh Emdur DO, 50-state licensed) reviews your file and — if appropriate — drafts an attestation against the federal OBBBA medical frailty criteria.
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.
Any physical, intellectual, or developmental disability that significantly impairs activities of daily living.
Chronic illness, cardiac, neurologic, oncologic, autoimmune, or other condition requiring ongoing management.
SUD or participation in a drug addiction or alcohol treatment program.
Depression, anxiety, bipolar, PTSD, schizophrenia, or other psychiatric condition that limits your ability to work.
You care for a child 13 or younger, or for a person with a disability, in your household.
Currently pregnant or entitled to postpartum medical assistance.
Current foster youth, or former foster youth under age 26.
Veterans with VA total disability rating.
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.
Every enrollee who churns off costs you capitation revenue. We clear hundreds of frail members through exemption per week — protecting your book without your staff doing the work.
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.