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.
Federal law names eight categories that exempt you from work requirements.
Blind or disabled
Any physical, intellectual, or developmental disability that significantly impairs activities of daily living.
Serious or complex medical condition
Chronic illness, cardiac, neurologic, oncologic, autoimmune, or other condition requiring ongoing management.
Substance use disorder
SUD or participation in a drug addiction or alcohol treatment program.
Disabling mental disorder
Depression, anxiety, bipolar, PTSD, schizophrenia, or other psychiatric condition that limits your ability to work.
Caregiver for a disabled family member
You care for a child 13 or younger, or for a person with a disability, in your household.
Pregnant or postpartum
Currently pregnant or entitled to postpartum medical assistance.
Foster care youth
Current foster youth, or former foster youth under age 26.
Veteran with total disability
Veterans with VA total disability rating.
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. We clear hundreds of frail members through exemption per week — 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.
Start your attestation. Keep your coverage.
AI-drafted. Reviewed and signed by a licensed physician. Delivered in 24 hours.