From 2e51667f116dde4f595c32e3b3af6d75bc7a21bf Mon Sep 17 00:00:00 2001 From: Daphne Hansell <128793799+daphnehanse11@users.noreply.github.com> Date: Mon, 22 Jun 2026 11:28:23 -0400 Subject: [PATCH 1/2] Add Medicaid CE treatment exclusion --- changelog.d/8574.added.md | 1 + .../medicaid_work_requirement_eligible.yaml | 20 +++++++++++++++++++ ..._community_engagement_treatment_program.py | 20 +++++++++++++++++++ .../medicaid_work_requirement_eligible.py | 4 ++++ 4 files changed, 45 insertions(+) create mode 100644 changelog.d/8574.added.md create mode 100644 policyengine_us/variables/gov/hhs/medicaid/eligibility/is_in_medicaid_community_engagement_treatment_program.py diff --git a/changelog.d/8574.added.md b/changelog.d/8574.added.md new file mode 100644 index 00000000000..ee1dcd76ae9 --- /dev/null +++ b/changelog.d/8574.added.md @@ -0,0 +1 @@ +Added a Medicaid community engagement treatment-program exclusion input. diff --git a/policyengine_us/tests/policy/baseline/gov/hhs/medicaid/eligibility/medicaid_work_requirement_eligible.yaml b/policyengine_us/tests/policy/baseline/gov/hhs/medicaid/eligibility/medicaid_work_requirement_eligible.yaml index 26fa290a5b3..7fc4f72aaec 100644 --- a/policyengine_us/tests/policy/baseline/gov/hhs/medicaid/eligibility/medicaid_work_requirement_eligible.yaml +++ b/policyengine_us/tests/policy/baseline/gov/hhs/medicaid/eligibility/medicaid_work_requirement_eligible.yaml @@ -244,3 +244,23 @@ medicaid_community_engagement_pass_through_eligible: false output: medicaid_work_requirement_eligible: false + +- name: Case 27, treatment program participant is excluded from community engagement. + period: 2027 + input: + age: 30 + monthly_hours_worked: 0 + is_in_medicaid_community_engagement_treatment_program: true + medicaid_community_engagement_pass_through_eligible: false + output: + medicaid_work_requirement_eligible: true + +- name: Case 28, non-participant remains subject to community engagement. + period: 2027 + input: + age: 30 + monthly_hours_worked: 0 + is_in_medicaid_community_engagement_treatment_program: false + medicaid_community_engagement_pass_through_eligible: false + output: + medicaid_work_requirement_eligible: false diff --git a/policyengine_us/variables/gov/hhs/medicaid/eligibility/is_in_medicaid_community_engagement_treatment_program.py b/policyengine_us/variables/gov/hhs/medicaid/eligibility/is_in_medicaid_community_engagement_treatment_program.py new file mode 100644 index 00000000000..7b8c58e843b --- /dev/null +++ b/policyengine_us/variables/gov/hhs/medicaid/eligibility/is_in_medicaid_community_engagement_treatment_program.py @@ -0,0 +1,20 @@ +from policyengine_us.model_api import * + + +class is_in_medicaid_community_engagement_treatment_program(Variable): + value_type = bool + entity = Person + label = ( + "Participates in qualifying treatment program for Medicaid community " + "engagement" + ) + definition_period = YEAR + default_value = False + documentation = ( + "Whether the person participates in a qualifying drug addiction or " + "alcoholic treatment and rehabilitation program for the Medicaid " + "community engagement exclusion. State-specific minimum time " + "commitments are not modeled." + ) + reference = "https://www.govinfo.gov/content/pkg/FR-2026-06-03/pdf/2026-11094.pdf" + diff --git a/policyengine_us/variables/gov/hhs/medicaid/eligibility/medicaid_work_requirement_eligible.py b/policyengine_us/variables/gov/hhs/medicaid/eligibility/medicaid_work_requirement_eligible.py index b787dcbeaac..45fef2a6756 100644 --- a/policyengine_us/variables/gov/hhs/medicaid/eligibility/medicaid_work_requirement_eligible.py +++ b/policyengine_us/variables/gov/hhs/medicaid/eligibility/medicaid_work_requirement_eligible.py @@ -68,6 +68,9 @@ def formula(person, period, parameters): "is_medically_frail_or_has_special_medical_needs_for_medicaid_ce", period, ) + treatment_program_participant = person( + "is_in_medicaid_community_engagement_treatment_program", period + ) # Current and recent incarceration exclusions/exceptions. is_incarcerated = person("is_incarcerated", period) was_recently_incarcerated = person( @@ -90,6 +93,7 @@ def formula(person, period, parameters): | eligible_veteran | eligible_disabled | medically_frail + | treatment_program_participant | is_incarcerated | was_recently_incarcerated ) From 7f79f6d6ed33a95e8a9e83c32588d744bc17b4cc Mon Sep 17 00:00:00 2001 From: Daphne Hansell <128793799+daphnehanse11@users.noreply.github.com> Date: Mon, 22 Jun 2026 13:37:50 -0400 Subject: [PATCH 2/2] Fix formatting --- .../is_in_medicaid_community_engagement_treatment_program.py | 4 +--- 1 file changed, 1 insertion(+), 3 deletions(-) diff --git a/policyengine_us/variables/gov/hhs/medicaid/eligibility/is_in_medicaid_community_engagement_treatment_program.py b/policyengine_us/variables/gov/hhs/medicaid/eligibility/is_in_medicaid_community_engagement_treatment_program.py index 7b8c58e843b..29646096291 100644 --- a/policyengine_us/variables/gov/hhs/medicaid/eligibility/is_in_medicaid_community_engagement_treatment_program.py +++ b/policyengine_us/variables/gov/hhs/medicaid/eligibility/is_in_medicaid_community_engagement_treatment_program.py @@ -5,8 +5,7 @@ class is_in_medicaid_community_engagement_treatment_program(Variable): value_type = bool entity = Person label = ( - "Participates in qualifying treatment program for Medicaid community " - "engagement" + "Participates in qualifying treatment program for Medicaid community engagement" ) definition_period = YEAR default_value = False @@ -17,4 +16,3 @@ class is_in_medicaid_community_engagement_treatment_program(Variable): "commitments are not modeled." ) reference = "https://www.govinfo.gov/content/pkg/FR-2026-06-03/pdf/2026-11094.pdf" -