medfrail.comPhysician-signed frailty attestations
For benefits navigators,
legal aid & caseworkers

Your client may qualify for a work-requirement exemption. The paperwork is the barrier we remove.

Under OBBBA's Medicaid work requirements, medically frail enrollees are exempt — but the exemption usually requires physician documentation most clients can't get quickly. medfrail.com produces a physician-signed medical frailty attestation, delivered as a signed PDF citing the specific OBBBA criteria the client meets.

In Arkansas's 2018 pilot, 95% of the people who lost coverage were working, exempt, or both. They failed the paperwork — not the requirement. Documentation, delivered fast, is the fix. Colorado members may self-attest to medical frailty through 2027. medfrail is for the person who gets a documentation request they can’t answer in time — or who is past the self-attestation window.

What the client gets

Who to refer

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medfrail.com

Free assist tool for clients not ready to pay: medfrail.com/baseline builds a dated Medical Frailty Baseline Record on the client's own phone — condition, function, work capacity, records checklist — and prints it. Nothing is transmitted. Rebuild it every three months so the 2028 verification meets a dated trail, not a story.

The client needs about 10 minutes and a phone. Intake is online; a licensed physician reviews the case; if the clinical criteria are met, the signed attestation arrives in the window stated at intake. If a physician determines the criteria are not met, the client pays nothing further and is told plainly.

medfrail.com provides medical documentation services, not legal advice, and an attestation is issued only when a reviewing physician determines the clinical criteria are met — a referral is never a guarantee of exemption. Navigators and caseworkers may print and distribute this page freely. Questions about panel-level arrangements for health systems and MCOs: medfrail.com/health-systems.