Giving Compass' Take:

• Mattie Quinn reports that as Medicaid work requirements expand, thousands are losing medical coverage. Many of those losing coverage may be eligible but are confused by the process. 

• How can funders help to mitigate the damage of Medicaid work requirements? How can states better communicate policy changes that impact benefits? 

• Learn how states are funding Medicaid expansion. 

Wisconsin just got approval to implement the new rule, and it will take effect in two other states in January. Meanwhile, more than 8,000 people have lost health insurance in Arkansas -- many who may comply with the rule but not know about it.

The Trump administration approved a fifth state's request to add work requirements to Medicaid, the nation's health insurance program for the poor. Wisconsin is also the first state to receive approval for work requirements since a federal court struck them down in Kentucky.

More than 4,000 Arkansans lost their benefits in September, followed by another 4,000 this month. Of 73,266 Medicaid users, 74 percent were exempt or complied with the work requirement in September. But 23 percent didn’t report their activities at all, according to data from the Kaiser Family Foundation.

While Arkansas Republican Gov. Asa Hutchinson, who is expected to win reelection this week, said in September that he doesn’t "like that number" of suddenly uninsured people, he said the work requirement is working as intended and called it "a proper balance of those values that we hold important."

Like Arkansas, Indiana and New Hampshire mandate Medicaid users to prove their compliance with the work requirements through a website, which experts say is problematic.

"There’s not even a phone number on the letter [beneficiaries received notifying them of work requirements]. Everything is being driven to a website, which isn’t sufficient. We know the population we serve has trouble accessing technology," says Dawn McKinney, policy director of New Hampshire Legal Assistance.

Furthermore, experts like Kosali Simon, a health policy professor with Indiana University, point out that policy changes like these require technical and administrative changes, which can be glitchy.

Read the full article about Medicaid work requirements by Mattie Quinn at Governing Magazine.