The recent survey by the Health Management Academy has revealed a concerning lack of awareness among Washington's Medicaid recipients regarding impending changes to the program. With the implementation of new work requirements just six months away, a staggering 55% of enrollees remain oblivious to this crucial update. This figure rises to 85% for the requirement to provide proof of eligibility every six months, rather than annually. These findings highlight a critical communication gap, as the state grapples with the challenge of informing its Medicaid recipients about the upcoming changes. The situation is particularly concerning given the potential impact on tens of thousands of Washingtonians, including refugees and asylees, who are set to lose coverage in October. The state's response to this crisis will be pivotal in ensuring that the affected population is adequately informed and prepared for the changes ahead. This issue underscores the importance of effective communication and outreach strategies in the healthcare sector, especially when policy changes have the potential to significantly impact vulnerable populations.