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Minnesota up against the clock on Medicaid changes



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Minnesotans between the ages of 21 and 64 who apply for Medicaid will need to demonstrate that they have been working, attending school, or volunteering for at least 80 hours each month to qualify for or retain health insurance under the joint federal-state program.

This requirement follows President Trump’s signing of HR. 1 into law, a sweeping tax and spending bill, last July.

The new law is set to take effect on Jan. 1, 2027, leaving Minnesota lawmakers grappling with how to implement changes to the state’s administration of Medicaid funds before the legislative session ends on May 18.

Both Democrats and Republicans in the Legislature said they need to either pass legislation or update existing rules soon to ensure that state programs comply with the U.S. Centers for Medicare & Medicaid Services new requirements.

But some state legislators have raised concerns about the lack of clear guidance from CMS on how to implement the upcoming work requirement changes.

This uncertainty puts the state at risk of noncompliance, which could result in the loss of Medicaid matching funds, the percentage of state spending matched by the federal government.

To meet the upcoming deadline, Minnesota needs to quickly implement a plan to upgrade agency databases and modernize verification processes.

Sen. Melissa Wiklund, DFL-Bloomington, chair of the Senate Health and Human Services Committee, said lawmakers are working on proposals to address impacts of HR. 1.

“DHS has received some guidance from the federal government, but they haven't received all the final guidance on how to implement some of these provisions, and that is making it tricky for us because our session is fixed in time,” Wiklund said. “So, we have to get something created and passed before our adjournment date.”

‘The clock is ticking’

The new federal law includes the largest cut to Medicaid in history, reducing funding by $1 trillion. As a result, nearly 12 million Americans are expected to become uninsured over the next decade, and according to Minnesota health officials, an estimated 140,000 Minnesotans are likely to lose health coverage.

These upcoming cuts come in addition to a federal hold on $243 million of Medicaid funding that the Trump administration imposed because of possible fraud in state programs. This funding has not yet been released by CMS, despite the federal government approving the state’s corrective action plan aimed at preventing fraud.

Medicaid, known as Medical Assistance in Minnesota, provides health coverage for about 1.2 million residents, offering affordable health insurance to more than one in five Minnesotans, including children, people with disabilities and seniors.

To qualify for Medical Assistance, individuals must meet specific income requirements based on factors such as age, pregnancy status and family size. Enrollees do not pay a premium for coverage, nor do they share costs for comprehensive health services.

A health care professional performs check ups on patients.
Nurse practitioner May Hang meets with a patient at NorthPoint Health and Wellness Clinic in north Minneapolis on April 27, 2022.
Tim Evans for MPR News file

A 2023 analysis by KFF shows that most Medicaid enrollees in the U.S. are employed.

Specifically, 92 percent of adults under the age of 65 are working full-time, while 64 percent are working part-time or are not working due to caregiving responsibilities, illness, disability or attending school. The remaining 8 percent of adult Medicaid recipients indicated that they are retired, unable to find work or not working for other reasons.

Currently, Medicaid enrollees are required to prove their eligibility at least once a year. But the new law will change this, mandating that states check recipients' eligibility every six months. This means more paperwork and consequently, some people may lose their eligibility or decide to opt out of Medicaid as these changes roll out over the next few years.

Tina Rucci, director of public policy at disability advocacy organization The ARC Minnesota, said this situation creates additional barriers for people with disabilities and others who rely on Medicaid for healthcare access. She pointed out that it places extra responsibilities on counties, which will need to verify all eligibility information and manage double the paperwork.

She is urging Minnesota lawmakers to collaborate to mitigate the potential negative impacts of the legislation on Medicaid beneficiaries, and she noted that states are required to inform Medicaid enrollees between June 30 and August 31, 2026, about what the new work reporting requirements will entail.

“We have to trickle that down into the community, and that takes time,” Rucci said. “So, the clock is ticking, and we just want to make sure that we have time for people to understand all of these intricacies before they might accidentally miss the exemption period and fall off their coverage.”

‘Where do we start?’

The Minnesota Department of Human Services analyzed the Medicaid provisions in the 2025 tax and spending bill and found that work-reporting requirements create high costs for taxpayers to ensure that only a small number of people are employed. They estimate that this will lead to a $200 million loss in federal funding each year due to fewer people having coverage, along with a possible $165 million increase in administrative costs for the state, counties, and Tribal entities.

Rep. Danny Nadeau, R-Rogers, introduced a bill Tuesday aimed at helping Minnesota comply with federal Medicaid work requirement regulations. But action on the bill was postponed.

No one testified either in favor of or against the bill, according to the House of Representatives, “but social service organizations submitted letters expressing” their opposition. Many of these letters highlighted concerns that the bill would deny essential health coverage to low-income individuals, as it appears to go beyond what is required by federal mandates.

State Rep. Danny Nadeau, R-Rogers, (right) presents a bill to the House and Human Services Committee
State Rep. Danny Nadeau, R-Rogers, (right) presents a bill to the House and Human Services Committee alongside the bill’s coauthor Rep. Huldah Momanyi-Hiltsley, DFL-Brooklyn Park, during a hearing on Wednesday, March 17, 2026 at the state capitol.
Carly Danek for MPR News

In an interview with MPR News last month, Nadeau said the new work requirements allow the state to create a better system for verifying Medicaid eligibility. He added that agencies are working on this, but Nadeau thinks the Legislature should be more involved too.

“One of the requirements is you can volunteer for 80 hours a month. Well, we don't have a way to capture that,” Nadeau said. “The proof of that. So, there's a lot of unknowns right now.”

Rep. Mohamud Noor, DFL-Minneapolis, said the state cannot ignore the numerous changes that need to be addressed.

“The implementation risks are too high for us not to be able to do things quickly and to be able to have all hands-on deck from the counties to the state,” Noor said. “If we don't do that, we will end up creating a lot of backlogs, and too many people may lose their coverage.”

Noor added that safeguards must be put in place so people can continue to maintain their health insurance coverage and do not face wrongful denials.

“I don't think any of this can wait. So, the question is, where do we start?” Noor asked. “And how we can make sure that we protect services for the most vulnerable Minnesotans.”



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Alteryx is a highly favored tool in data analytics due to its self-service capabilities and user-friendly interface. Many companies are actively seeking individuals proficient in Alteryx.

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Alteryx Interview Questions Most Frequently Asked with Answers

Basic AlterYX interview questions for freshers

1. What do you understand by Alteryx?

Ans: Alteryx is renowned as a trailblazer in data science and analytics, headquartered in Irvine, California, with a development center in Broomfield, Colorado. The company’s offerings, known for their user-friendly design, empower users to perform complex data analytics with ease, democratizing the process of data analysis across various sectors.

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2. Why would you recommend using Alteryx?

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3. What is an Analytics Gallery?

Ans: The Alteryx Analytics Gallery is a pioneering cloud-based platform for business analytics, designed with the ethos of bringing the convenience and connectivity of personal applications to business environments. It offers cloud-based workflow processing, enabling organizations to handle large datasets (Big Data) in a unified environment.

4. What Browsers Are Supported By The Analytics Gallery?

Ans: The Analytics Gallery is compatible with major browsers including Internet Explorer, Firefox, Safari, and Google Chrome, ensuring accessibility and ease of use across different user preferences.

5. What is the limit of app file size in Alteryx?

Ans: Currently, both applications and associated data in Alteryx are capped at a maximum size limit of 100MB.

6. What do you understand by the term Data Artisan?

Ans: A Data Artisan in the Alteryx context refers to a user who creates analytical applications using Alteryx Designer Desktop. These applications can then be shared within the Analytics Gallery, either publicly or privately. Data Artisans also enjoy the benefits extended to Gallery Members.

7. What is the process to run an app?

Ans: Running an app in Alteryx involves selecting the app, configuring it based on specific requirements like geocoding addresses, adding user files for demographic analysis, or choosing relevant data for your business. This customization allows for tailored analytics solutions.

8. What is the procedure to save an expression?

Ans: In Alteryx, expressions can be saved for repeated use, eliminating the need to recreate them from scratch. Users can craft expressions using variable selection and function insertion, and then save them for future use by choosing the ‘Saved Expression’ option.

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Intermediate Alteryx interview questions

9. What is the process to turn on and off the annotations in Alteryx?

Ans: Alteryx provides flexibility in managing annotations. Users can toggle annotations on or off per tool, per module, or globally, offering a range of control from specific tool comments to overarching module settings.

10. Distinguish between the CrossTab tool and the Transpose tool?

Ans: Both the CrossTab and Transpose tools in Alteryx alter data orientation, but in opposing manners. The Transpose tool shifts horizontal data to a vertical format, whereas the CrossTab tool summarizes data on a group field by rotating vertical data to a horizontal axis.

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11. What is the way to share an app in Alteryx?

Ans: Sharing an app in Alteryx involves various methods. Apps published in a Studio can be accessed by other Data Artisans of that Studio, shared publicly in the Gallery, or included in a Collection for specific group access.

12. How will you describe a Viewer?

Ans: A Viewer in the Alteryx Analytics Gallery context is a user who can access and run applications published in the Public Gallery, offering a broad access range to various analytics solutions.

13. How can you publish apps in the analytics gallery?

Ans: Publishing apps in Alteryx involves transferring them from the Alteryx Designer Desktop directly into a private Studio. This process is accessible to Alteryx Designer Desktop license holders and trial users, with the latter enjoying a 30-Day Free Trial of the Studio.

14. How to discover different users to add them to a given Collection?

Ans: To add users to an Alteryx Collection, one can utilize the ‘Search users’ field within the collection or invite unregistered users via email, expanding the collaboration and sharing capabilities within the Alteryx environment.

15. What kind of users are able to run the created private applications in a Collection?

Ans: Within a Collection in Alteryx, private applications can be accessed and run by Data Artisans and Members, whereas Viewers can see these applications but are not permitted to run them.

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16. What is/are the biggest misconception(s) about big data in your view?

Ans: A significant misconception about big data is the overemphasis on its volume. The true value of data lies not just in its size but in the insights and information it yields, highlighting the importance of effective data analysis over mere data accumulation.

17. There’s a difference between data science and data intelligence – how do you see this?

Ans: Data science, data mining, and business intelligence are better seen as a continuum of activities rather than distinct, isolated fields. They collectively contribute to a comprehensive approach to data handling and analysis.

Advanced Alteryx interview questions

18. What are the main highlights and functionalities that Alteryx offer?

Ans: Alteryx Designer, as Alteryx’s flagship tool, offers a comprehensive suite for data handling and analysis, including features for data input/output, preparation, joining, predictive analytics, spatial data handling, initial data analysis, and data parsing and transformation. This range of features makes Alteryx a versatile and powerful tool for a variety of data tasks.

19. Explain the concept of Analytic Application.

Ans: Analytic Applications in Alteryx are created by Data Artisans to address specific strategic analysis questions. These pre-packaged data and analytic integrations can be published to the Alteryx Analytics Gallery for broader access and use.

20. Explain the types of reports that can be produced by an app in Alteryx.

Ans: Depending on their design, apps in Alteryx can generate reports in formats like Excel, Word, HTML, and PDF, containing diverse elements such as tables, texts, charts, and maps, providing comprehensive data insights.

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21. Explain the kinds of Spatial and Tabular Data Output that is generated by an app.

Ans:The output of an Alteryx app can vary based on its construction, potentially generating files in formats like MDB/ACCDB, CSV, DBF, MID/MIF, FlatFile, KML SHP, TAB, and YXDB, catering to a wide range of data representation needs.

22. How will you explain the concept of Member?

Ans: A Member in the Alteryx context is a user who can execute applications shared privately through Collections, with this status granted by a Data Artisan. Members also have the rights of a Viewer, allowing them to run applications in the Public Gallery.

23. Can you get support for chained apps?

Ans: Currently, Alteryx does not support the creation of chained apps, indicating a limitation in its application sequencing capabilities.

24. How can you allow users within your Alteryx tool?

Ans: Within Alteryx, users can be added to a Collection by checking an option that allows other users to share the collection. The Data Artisan who creates the Collection can monitor and manage new user additions, ensuring controlled access.

25. What kind of Apps Can you Add To an Alteryx Collection?

Ans: In Alteryx, only apps published within a Data Artisan’s Studio can be added to a Collection. These apps can also be shared in the Public Gallery, but apps from different Studios or the Public Gallery cannot be added to a personal Collection.

26. Explain the pros and cons of an Alteryx Designer?

Ans: Pros of Alteryx Designer include its exceptional data blending capabilities, compatibility with a wide range of databases and file types, and the unique ability to produce Tableau data extracts. It’s versatile, not limited to ETL processes, and seamlessly integrates with R for predictive modeling. Additionally, Alteryx excels in creating detailed reports with dynamic filters. However, its cons involve limitations in reading Tableau data extracts, a lack of robust support for special characters, occasional instability with concurrent user access, and a learning curve to fully understand all tools and statistical R packages.

27. What is it that the system is conveying when you get, “No Values found before GetMean()” message?

Ans: When encountering the “No Values found before GetMean()” message, it suggests a need to review your workflow’s upstream configuration. If an Allocate Append tool is in use, ensure the spatial object selected is a polygon, not a point object. If the error originates from a Reporting Map tool, verify that Smart Tiling isn’t applied to a String field in thematic mapping.

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28. How to change the field type in Alteryx?

Ans: The most effective way to change a field type in Alteryx is through the Formula tool, which provides extensive control for custom data transformations. Alternatively, the Select tool and other tools with embedded select functions can be used to adjust field types, offering flexibility in data manipulation.

29. Why do you think a company should prefer Alteryx over other open or semi-open source apps?

Ans: Alteryx stands out for several reasons, making it a preferable choice over open or semi-open source alternatives. Its strong reputation and positive ratings in Gartner’s Magic Quadrants for its analytical complexity, ease of use, customer experience, product quality, and top-notch support make it an industry leader in data analytics tools.

30. How to share an app in Alteryx via social media or an email?

Ans: To share an application through internet based life or email, first, you need to tap on the application to see its subtleties. At that point, click on the Share catch to share the application through various stages like Twitter, email, Google+, and Facebook.

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31. How to deploy analytics across your organisation using Alteryx?

Ans: Alteryx Server stands out for its simplicity in both setup and configuration, whether on-premises or cloud-based. This platform can be operational on the same day it’s set up. Post-deployment, users can establish schedules and automate tasks. The Alteryx APIs offer further advantages by allowing integration with other workflows, sharing applications, and more. This tool represents a quick and efficient method for implementing analytics throughout an organization.

32. Big data is causing enterprises to find new ways to leverage information sources to drive growth. What are your suggestions?

Ans: It’s crucial to prioritize analytical decision-making. Maintaining a record of decisions made based on various data types (big, small, and others) is essential. The key is to focus on how this data can be utilized for analytical decisions that have potential benefits.

33. How can you use big data analytics or large and complex datasets to predict future customer behaviors, trends, and outcomes?

Ans: Utilizing a mix of internal, external, third-party, and cloud sources can enrich the understanding of customer behavior, social media sentiment, and outcome modeling. There’s a strong emphasis on making these insights accessible to business users, especially data analysts, to address their analytical needs effectively.

34. With the amount of data increasing exponentially how can businesses sustain information and analytics capability?

 Ans: Businesses must adapt to the rapid influx of data by focusing on market agility and productivity. According to Alteryx research, many business and analytical leaders are dissatisfied with the time it takes to extract necessary information from data. Integrating data from diverse sources, including data centers, cloud applications, and even desktop Excel spreadsheets, is a significant challenge. Alteryx addresses this by offering a user-friendly, code-free environment that simplifies data integration and accelerates processing.

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As a senior Technical Content Writer for HKR Trainings, Gayathri has a good comprehension of the present technical innovations, which incorporates perspectives like Business Intelligence and Analytics. She conveys advanced technical ideas precisely and vividly, as conceivable to the target group, guaranteeing that the content is available to clients. She writes qualitative content in the field of Data Warehousing & ETL, Big Data Analytics, and ERP Tools. Connect me on LinkedIn.

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