CMS is not conducting adequate oversight of hundreds of millions of dollars in administrative expenses tied to states’ implementation of Medicaid work requirements, the Government Accountability Office said Thursday (Oct. 10), and CMS rejected GAO’s recommendation to consider the administrative costs of such programs when looking at whether 1115 waivers are budget neutral. Work requirements may cause significant increases in Medicaid administrative costs as states seeking to adopt the policy update their eligibility and enrollment systems, educate beneficiaries, train staff,...