What Does “Medically Frail” Mean?
“Medically frail” is a Medicaid term for someone whose health condition may mean they do not have to meet the new work and activity requirements.
Current federal guidance includes people who have:
- A substance use disorder
- A disabling mental health condition
- A disability that significantly affects daily activities
- A serious or complex medical condition
- Blindness or another qualifying disability
The condition generally must significantly affect the person’s ability to work or complete other qualifying activities.
New Mexico officials have said that during 2027, members may use a self-attestation form to request a medical-frailty exception without providing additional medical paperwork. That process may change as the state receives and implements additional federal guidance.
If you receive a notice about work requirements or medical frailty, don’t ignore it. Porch Light Health can help you understand what it is asking and identify your next step.