Documentation is the new safety net. We build yours.
OBBBA work requirements take effect January 2027. If a health condition limits your ability to work, the law gives you an exemption — but only if you can prove it. We generate a physician-signed medical frailty attestation in 24 hours. Audit-ready. State-filing ready. Yours to keep.
Up to 10.1 million people will lose Medicaid by 2028.
Most of them actually qualify for an exemption. They just can't prove it in time. In Arkansas's 2018 experiment, 95% of the people who lost coverage qualified or were working — they failed at the documentation, not the requirement.
Three steps. One physician. Twenty-four hours.
Every attestation is reviewed and signed by a licensed physician matched to your condition.
Upload records
Drop in your medical history, diagnoses, medications, and any prior physician letters. Takes five minutes. We handle intake through a secure HIPAA-compliant form.
Physician review
A licensed physician in your state (starting with Dr. Josh Emdur DO, 50-state licensed) reviews your file and — if appropriate — drafts an attestation against the federal OBBBA medical frailty criteria.
Keep your coverage
You receive a signed, timestamped, audit-ready PDF with citation to the specific OBBBA criteria you meet. Submit it to your state Medicaid agency. You keep your coverage.
Federal law names eight categories that exempt you from work requirements.
Blind or disabled
Any physical, intellectual, or developmental disability that significantly impairs activities of daily living.
Serious or complex medical condition
Chronic illness, cardiac, neurologic, oncologic, autoimmune, or other condition requiring ongoing management.
Substance use disorder
SUD or participation in a drug addiction or alcohol treatment program.
Disabling mental disorder
Depression, anxiety, bipolar, PTSD, schizophrenia, or other psychiatric condition that limits your ability to work.
Caregiver for a disabled family member
You care for a child 13 or younger, or for a person with a disability, in your household.
Pregnant or postpartum
Currently pregnant or entitled to postpartum medical assistance.
Foster care youth
Current foster youth, or former foster youth under age 26.
Veteran with total disability
Veterans with VA total disability rating.
Enrollees, health plans, and providers — same attestation engine.
I might lose my Medicaid.
You've heard about the new work requirements and you're worried. Upload your records, we match you to a licensed physician, you get a signed attestation in 24 hours.
My members are at risk.
Every enrollee who churns off costs you capitation revenue. We clear hundreds of frail members through exemption per week — protecting your book without your staff doing the work.
My patients need documentation.
Your safety-net patients maintain coverage and you maintain reimbursement. We plug into your EHR, generate attestations for your frail panel, your revenue cycle stays intact.
Built for defensibility. Made to scale.
Start your attestation. Keep your coverage.
AI-drafted. Josh Emdur DO reviews and signs. Delivered in 24 hours.