ASH letter to Medicaid Directors re CE requirements

In its September 29, 2026, letter, the American Society of Hematology (ASH) urges state Medicaid directors to use a streamlined, ICD-10-CM diagnosis code–based process to identify individuals with serious blood disorders who presumptively qualify for medical frailty exemptions from Medicaid community engagement requirements. ASH emphasizes that this approach would better account for episodic and unpredictable impairments, reduce repetitive documentation for patients and clinicians, and protect access to essential care.