Beginning January 1, 2027, federal changes will affect certain people who have Medicaid and are renewing, and people who are enrolling for the first time.
These changes include:
- Work requirements
- Changing renewal periods from annual to every 6 months
Work Requirements
Adults age 19-64 who are subject to these requirements must provide documentation that they are working, participating in a work training program, volunteering, or attending school for at least 80 hours per month, or that their household earns at least $580 per month.
You may be exempt from the work requirements if you:
- Are pregnant or have given birth in the past 12 months
- Are the parent, guardian, or caregiver of a child under age 14 or a disabled individual
- Have a disability, as defined for Supplemental Security Income (SSI) eligibility
- Have special medical needs or mental health conditions that significantly impair your ability to work
- Are participating in a drug or alcohol use treatment program
- Are enrolled in SNAP (food stamps) and subject to SNAP work requirements
- Are enrolled in TANF (cash assistance) and compliant with TANF work requirements
- Have been released from jail or prison in the last 90 days
- Are receiving inpatient services in a hospital, nursing facility, intermediate care facility, or similar facility
See a full list of exemptions.
The work requirements will begin to apply in January 2027 for new Medicaid applicants, and in March 2027 and beyond for Medicaid renewals.
Six Month Renewals
Beginning January 1, 2027, certain adults age 19-64 will have to renew their coverage every six months instead of annually. This will begin following the individual’s next scheduled Medicaid renewal in 2027. For example, if you normally renew your insurance in April, you will do so in April 2027 and then again in October 2027.