Medicaid Work Requirements

This chart provides general information about Medicaid work requirements in each state, including who may be required to comply with them, what activities may count, how and when people may need to report their participation, possible exemptions, and short-term hardship exceptions. Medicaid work requirement policies are changing quickly as states review and implement new federal rules, so the information in this chart may change, and state requirements may differ from what is listed here. While state Medicaid agencies and other official state resources are generally the best sources of current information, some states may still be updating their policies, forms, and website content. Check official state resources for the latest information and contact your state Medicaid program with questions about specific situations.

For more information, visit our Medicaid Topics Page.

Please note: The chart displays 5 states at a time; use the navigation at the bottom to move between pages. It also contains multiple columns, so scroll left and right at the bottom of each page to see all available information.

StateWhich Medicaid programs do these requirements apply to?What activities can someone do to meet the requirements?How far back will Medicaid look to see if someone has completed the required activities?When do the requirements begin? When do people first need to report?How often does someone need to recertify?Who is not required to complete work requirements?Is someone required to complete work requirements if (1) they were in a hospital or nursing facility, (2) they or a dependent had to travel to receive serous medical care that wasn't available in their community, (3) they live in a county under a federal emergency, or (4) they live in a county with a high unemployment rate?Who is considered "medically frail?"How will Medicaid know that someone is "medically frail?" (Note: according to the June 1, 2026 regulations, all states can allow self-attestation for 2027, but in 2028, states will have to require proof of eligibility)
ALABAMADoes not have Medicaid expansionhttps://triagecancer.org/medicaid-expansion/n/ahttps://medicaid.alabama.gov/content/3.0_Apply/3.1_General_Info.aspxn/ahttps://medicaid.alabama.gov/content/3.0_Apply/3.1_General_Info.aspxn/ahttps://medicaid.alabama.gov/content/3.0_Apply/3.1_General_Info.aspxn/ahttps://medicaid.alabama.gov/content/3.0_Apply/3.1_General_Info.aspxn/ahttps://medicaid.alabama.gov/content/3.0_Apply/3.1_General_Info.aspxn/ahttps://medicaid.alabama.gov/content/3.0_Apply/3.1_General_Info.aspxn/ahttps://medicaid.alabama.gov/content/3.0_Apply/3.1_General_Info.aspxn/ahttps://medicaid.alabama.gov/content/3.0_Apply/3.1_General_Info.aspxn/ahttps://medicaid.alabama.gov/content/3.0_Apply/3.1_General_Info.aspxn/ahttps://medicaid.alabama.gov/content/3.0_Apply/3.1_General_Info.aspxn/ahttps://medicaid.alabama.gov/content/3.0_Apply/3.1_General_Info.aspx
ALASKAExpansion onlyhttps://health.alaska.gov/en/education/hr-1-ak-impacts/Work, job training, education, or volunteer service for at least 80 hours per month. Hours for seasonal work may be averaged over 6 months.https://health.alaska.gov/en/education/hr-1-ak-impacts/#:~:text=are%20the%20new-,community%20engagement,-requirements%2C%20and%20who1 monthhttps://health.alaska.gov/en/education/hr-1-ak-impacts/#:~:text=are%20the%20new-,community%20engagement,-requirements%2C%20and%20who12/31/26, must report at application or renewalhttps://health.alaska.gov/en/education/hr-1-ak-impacts/#:~:text=When%20do%20the%20community%20engagement%20requirements%20take%20effect%3FEvery 6 monthshttps://health.alaska.gov/en/education/hr-1-ak-impacts/#:~:text=What%20is%20changing%20about%20Medicaid%20eligibility%20reviews%3FIndividuals who are pregnant or within the postpartum coverage period;Alaska Native or American Indian;Have a significant physical, intellectual, or developmental disability;Blind or disabled;Have a substance use disorder or disabling mental health condition;Have a serious or complex medical condition;Veterans with a total disability rating;Enrolled in Medicare;A parent or caregiver for a child under 14 or someone with a disability;Recently incarcerated (within 90 days);Under age 26 and formerly in foster care;Meet SNAP or TANF work requirements.https://health.alaska.gov/en/education/hr-1-ak-impacts/#:~:text=The%20bill%20requires,need%20to%20work%3ANohttps://health.alaska.gov/en/education/hr-1-ak-impacts/#:~:text=The%20bill%20requires,need%20to%20work%3ANohttps://health.alaska.gov/en/education/hr-1-ak-impacts/#:~:text=The%20bill%20requires,need%20to%20work%3ANohttps://health.alaska.gov/en/education/hr-1-ak-impacts/#:~:text=The%20bill%20requires,need%20to%20work%3ANohttps://health.alaska.gov/en/education/hr-1-ak-impacts/#:~:text=The%20bill%20allows,may%20be%20limitedFinal definition of medical frailty is TBD based on federal guidelines, but Alaska has shared data using Michigan's medically frail guidelines as a possible frameworkhttps://health.alaska.gov/media/1nlcvym4/021826-ak-evergreen-med-frailty-analysis.pdfTBDhttps://health.alaska.gov/en/education/hr-1-ak-impacts/11/18/2025State Plan Amendment
ARIZONAExpansion onlyhttps://www.azahcccs.gov/AHCCCS/Initiatives/HR1/Complete 80+ hours of approved activities or demonstrate an income of at least $580 per month. Approved activities include work, job training or workforce programs, education (at least half-time enrollment), community service, or a combination of these activities.https://www.azahcccs.gov/AHCCCS/Initiatives/HR1/#:~:text=A%3A%20Approved%20activities,report%20these%20activities.TBDhttps://www.azahcccs.gov/AHCCCS/Initiatives/HR1/1/1/2027https://www.azahcccs.gov/AHCCCS/Initiatives/HR1/#:~:text=A%3A%20H.R.%201%20requires%20states%20to%20begin%20implementing%20work%20requirements%20by%20December%2031%2C%202026.%20The%20federal%20government%20will%20release%20detailed%20guidance%20to%20states%20by%20June%201%2C%202026%2C%20that%20will%20further%20inform%20various%20details%20of%20this%20new%20program.Every 6 monthshttps://www.azahcccs.gov/AHCCCS/Initiatives/HR1/#:~:text=This%20provision%20directly%20interacts%20with%20the%20new%20community%20engagement%20requirements%20above.%20As%20a%20result%2C%20members%20subject%20to%20these%20requirements%20will%20need%20to%20prove%20engagement%20with%20a%20qualifying%20activity%20every%206%20months.American Indians or Alaska Natives eligible for Indian Health Service care;Disabled veterans with a total disability rating; a caregiver for a child age 13 or younger or for a person with a disability;Former foster youth under age 26;Medically frail, including people with serious physical health, mental health, or substance use conditions;Pregnant or within 12 months after pregnancy;Participating in a qualifying substance use disorder treatment program;Already meeting community engagement rules through programs like SNAP or TANF;Currently incarcerated or recently released;Experiencing a short-term hardship, such as hospitalization, living in an area where a federal emergency or disaster is declared, or living in an area with very high unemployment.https://www.azahcccs.gov/AHCCCS/Initiatives/HR1/#:~:text=A%3A%20You%20may,claim%20an%20exemption.TBDhttps://www.azahcccs.gov/AHCCCS/Initiatives/HR1/#:~:text=Experiencing%20a%20short%2Dterm%20hardship%2C%20such%20as%20hospitalization%2C%20living%20in%20an%20area%20where%20a%20federal%20emergency%20or%20disaster%20is%20declared%2C%20or%20living%20in%20an%20area%20with%20very%20high%20unemploymentTBDhttps://www.azahcccs.gov/AHCCCS/Initiatives/HR1/Nohttps://www.azahcccs.gov/AHCCCS/Initiatives/HR1/#:~:text=Experiencing%20a%20short%2Dterm%20hardship%2C%20such%20as%20hospitalization%2C%20living%20in%20an%20area%20where%20a%20federal%20emergency%20or%20disaster%20is%20declared%2C%20or%20living%20in%20an%20area%20with%20very%20high%20unemploymentNohttps://www.azahcccs.gov/AHCCCS/Initiatives/HR1/#:~:text=Experiencing%20a%20short%2Dterm%20hardship%2C%20such%20as%20hospitalization%2C%20living%20in%20an%20area%20where%20a%20federal%20emergency%20or%20disaster%20is%20declared%2C%20or%20living%20in%20an%20area%20with%20very%20high%20unemploymentTBDhttps://www.azahcccs.gov/AHCCCS/Initiatives/HR1/#:~:text=Medically%20frail%2C%20including%20people%20with%20serious%20physical%2C%20mental%20health%2C%20or%20substance%20use%20conditionsTBDhttps://www.azahcccs.gov/AHCCCS/Initiatives/HR1/6/7/2026AHCCCS Section 1115 Waiver
ARKANSASExpansion onlyhttps://humanservices.arkansas.gov/divisions-shared-services/medical-services/healthcare-programs/arhome/arhome-community-engagement-requirement/arhome-faq/Must work, volunteer at a state-funded organization (e.g., libraries, the AR Department of Human Services, the AR Department of Health, or public schools), participate in school activities, or use a combination of these activities to reach a total of 20 hours per week (80 hours per month), or have an income of at least $580 per monthhttps://humanservices.arkansas.gov/divisions-shared-services/medical-services/healthcare-programs/arhome/arhome-community-engagement-requirement/arhome-faq/#:~:text=I%20am%20not,Public%20schools1 month for application, 3 months for renewalhttps://humanservices.arkansas.gov/divisions-shared-services/medical-services/healthcare-programs/arhome/arhome-community-engagement-requirement/arhome-faq/Soft launch as of 7/1/26, but no penalties take effect until 1/1/2027https://humanservices.arkansas.gov/news/dhs-to-launch-soft-implementation-of-work-and-community-engagement-requirement-starting-july-1/Every 6 monthshttps://humanservices.arkansas.gov/wp-content/uploads/Community-Engagement-Work-Requirement-Town-Hall-slides.pdfMay be exempt if pregnant or entitled to postpartum medical assistance;Under 19 or over 64;A former foster child under 26;Tribal member or Alaska Native; Veteran with rated disabilities;Medically frail individual;Participating in a substance use or alcohol use disorder treatment program;Meet the TANF/SNAP work requirement;Parent or caregiver of a dependent child aged 13 or younger, or someone with a disability;Entitled to or enrolled in Medicare Part A or enrolled in Medicare Part Bhttps://humanservices.arkansas.gov/wp-content/uploads/Community-Engagement-Work-Requirement-Town-Hall-slides.pdfNohttps://humanservices.arkansas.gov/divisions-shared-services/medical-services/healthcare-programs/arhome/arhome-community-engagement-requirement/arhome-faq/Nohttps://humanservices.arkansas.gov/divisions-shared-services/medical-services/healthcare-programs/arhome/arhome-community-engagement-requirement/arhome-faq/Nohttps://humanservices.arkansas.gov/divisions-shared-services/medical-services/healthcare-programs/arhome/arhome-community-engagement-requirement/arhome-faq/Nohttps://humanservices.arkansas.gov/divisions-shared-services/medical-services/healthcare-programs/arhome/arhome-community-engagement-requirement/arhome-faq/State is using previously established definition from its Alternative Benefit Plan. A person who has a physical or behavioral health condition that limitswhat he or she is able to do (like bathing, dressing, daily chores, etc.), a person who lives in a medical facility or nursing home, a personwho has a serious mental illness, a person who has a long-term problem with drugs or alcohol, a person with intellectual ordevelopmental disabilities, or a person with some other serious health condition.https://humanservices.arkansas.gov/wp-content/uploads/3.1-AttachL-AltBenefitPlan.pdfSelf-attestationhttps://humanservices.arkansas.gov/wp-content/uploads/3.1-AttachL-AltBenefitPlan.pdf2/23/2026"ARHOME" Section 1115 Waiver
CALIFORNIAExpansion onlyhttps://www.dhcs.ca.gov/wp-content/uploads/2026/05/DHCS-HR1-Implementation-Plan.pdfMust have monthly income at least 80 times the federal hourly minimum wage ($580); seasonal employment averaging at least 80 times the federal hourly minimum wage ($580) over the preceding six months; employment of 80 hours per month; community service of 80 hours per month; enroll at least half-time in an education program; participating in a work program of 80 hours per month; or combination of employment, community service, work program, and/or education of 80 hours per monthhttps://www.dhcs.ca.gov/wp-content/uploads/2026/05/DHCS-HR1-Implementation-Plan.pdf1 month prior to application, then show compliance or exemption during any 1 month during 6-month renewal periodhttps://www.dhcs.ca.gov/wp-content/uploads/2026/05/DHCS-HR1-Implementation-Plan.pdf1/1/2027; applies to any applications submitted on or after 1/1/27, and DHCS currently plans to implement the new requirements for current members as their coverage comes up for renewal in 2027https://www.dhcs.ca.gov/wp-content/uploads/2026/05/DHCS-HR1-Implementation-Plan.pdfEvery 6 monthshttps://www.dhcs.ca.gov/wp-content/uploads/2026/05/DHCS-HR1-Implementation-Plan.pdfNot subject to work requirements or 6-month renewals:American Indians or Alaska Natives;Those enrolled in these Medi-Cal eligibility groups: pregnant or up to 12 months postpartum, foster youth, former foster care youth under age 26, aged, blind, or disabled people (including individuals who receive SSI), and children under age 19. Exempt from work requirements at application and during their 6-month renewal periods: Parents/guardians/caregivers of a dependent child age 13 and younger;Parents/guardian/caregivers of a disabled individual;Veterans with a disability rating of totalIncarcerated or recently released from a correctional facility in the last 90 daysEntitled to Medicare Part A or enrolled in Part B, meeting TANF or SNAP (CalFresh) work requirements;Participating in drug/alcohol treatment programs;Medically frail (includes individuals (1) with a substance-use disorder (SUD); (2) with a disabling mental disorder; (3) with a physical, intellectual, or developmental disability that significantly impairs their ability to perform one or more activities of daily living; (4) with a serious or complex medical condition; (5) who are blind or disabled (as defined by section 1614 of the Social Security Act)https://www.dhcs.ca.gov/wp-content/uploads/2026/05/DHCS-HR1-Implementation-Plan.pdfNohttps://www.dhcs.ca.gov/wp-content/uploads/2026/05/DHCS-HR1-Implementation-Plan.pdfNohttps://www.dhcs.ca.gov/wp-content/uploads/2026/05/DHCS-HR1-Implementation-Plan.pdfNohttps://www.dhcs.ca.gov/wp-content/uploads/2026/05/DHCS-HR1-Implementation-Plan.pdfNohttps://www.dhcs.ca.gov/wp-content/uploads/2026/05/DHCS-HR1-Implementation-Plan.pdfIncludes individuals with a substance-use disorder (SUD); with a disabling mental disorder; with a physical, intellectual, or developmental disability that significantly impairs their ability to perform one or more activities of daily living; with a serious or complex medical condition; or who are blind or disabled (as defined in § 1614 of the Social Security Act). Additional information from DHCS to come.https://www.dhcs.ca.gov/wp-content/uploads/2026/05/DHCS-HR1-Implementation-Plan.pdfSelf-attestationhttps://www.dhcs.ca.gov/wp-content/uploads/2026/05/DHCS-HR1-Implementation-Plan.pdf1/29/2026Section 1115 Waiver - Amendment to CalAIM Waiver
COLORADOExpansion onlyhttps://www.healthfirstcolorado.com/work-requirements-screenerCompleting 80 hours of approved activities, including working, participating in a work program, volunteering, or going to school (or a combination of these), or earning at least $580 from paid workhttps://hcpf.colorado.gov/work-requirements-faqs#:~:text=renewing%20their%20coverage.-,Current%20members%20will%20need%20to%20show%20at%20renewal%20that%20they%20met,meet%20an%20exemption%20and%20do%20not%20need%20to%20meet%20the%20requirement,-These%20criteria%20are1 month for new applicants. For current members, requirement must be met in at least 1 of the previous 6 months prior to renewal.https://hcpf.colorado.gov/work-requirements-faqs#:~:text=New%20applicants%20who,September%20through%20February).1/1/2027https://hcpf.colorado.gov/hr1-timeline#:~:text=6%2Dmonth%20renewals-,January%202027,-H.R.%201Every 6 monthshttps://hcpf.colorado.gov/work-requirements-faqs#:~:text=Existing%20Medicaid%20members%20who%20are%20not%20exempt%20and%20renewing%20will%20need%20to%20meet%20the%2080%2Dhour%20work%20requirement%20at%20least%20one%20of%20the%20months%20within%20their%20six%2Dmonth%20renewal%20period.Children 18 and younger;Adults 65 and older;Parents, guardians, caretaker relatives or family caregivers responsible for a child aged 13 or a person of any age who has a disability; Veterans with a service-connected disability that the U.S. Department of Veteran Affairs has determined to be total and permanent;People who qualify or are enrolled in Medicare; people enrolled in a long-term services and supports (LTSS) program;People enrolled in Medicaid buy-in programs (Working Adults or Children's);People who are receiving Supplemental Security Income (SSI) and/or Social Security Administration (SSA) income, such as Social Security Disability Insurance (SSDI) or Social Security Retirement (SSR);Former foster care youth age 19 to 26;Current Health First Colorado members who are pregnant and some members who were pregnant within the last 12 months;American Indians and Alaska Natives (AI/AN) who qualify for Indian Health Services (IHS);People who are medically frail;People enrolled in treatment or rehab for a mental health or substance use disorder;People living in a jail, prison, or some halfway houses, now or in the past 3 months; People who comply with SNAP or TANF work requirementshttps://hcpf.colorado.gov/work-requirements-faqs#:~:text=Who%20should%20not%20have%20to%20meet%20the%20work%20requirement%3FTBDhttps://www.healthfirstcolorado.com/work-requirements-screenerTBDhttps://www.healthfirstcolorado.com/work-requirements-screenerTBDhttps://www.healthfirstcolorado.com/work-requirements-screenerTBDhttps://www.healthfirstcolorado.com/work-requirements-screenerA person is considered to be medically frail if they are blind or have a disability, have a substance use disorder, have a disabling mental health condition, have a physical, intellectual, or developmental disability that makes it hard to do daily activities, or have a serious or complex medical condition. Colorado plans to update as it receives additional federal guidance.https://www.healthfirstcolorado.com/frequently-asked-questions/medicaid-changes-2026-2027/#:~:text=A%20person%20is,get%20new%20informationTBDhttps://www.healthfirstcolorado.com/work-requirements-screener2/18/2026State Plan Amendment
CONNECTICUTExpansion onlyhttps://portal.ct.gov/dss/all-programs/dss-benefits-and-hr1/hr1-for-members?language=en_US#:~:text=Adults%20on%20HUSKY%20D%20who%3AIncome of at least $580 per month, or at least 80 hours per month of work, community service, qualified work or training program participation, or enrolled at least half-time in an education program, or any combination of the above totaling at least 80 hours per monthhttps://portal.ct.gov/dss/all-programs/dss-benefits-and-hr1/hr1-for-members?language=en_US#:~:text=To%20meet%20the%20Medicaid%20(HUSKY%20Health)%20work,totaling%20at%20least%2080%20hours%20per%20month1 monthhttps://portal.ct.gov/dss/all-programs/dss-benefits-and-hr1/hr1-for-members?language=en_US#:~:text=Adults%20on%20HUSKY%20D%20who%3A1/1/2027https://portal.ct.gov/dss/all-programs/dss-benefits-and-hr1/hr1-for-members?language=en_US#:~:text=Work%20requirements%20for%20Medicaid%20are%20effective%20January%201%2C%202027.Every 6 monthshttps://portal.ct.gov/dss/all-programs/dss-benefits-and-hr1/hr1-for-members?language=en_US#:~:text=Adults%20on%20HUSKY%20D%20will%20have%20to%20complete%20a%20renewal%20every%206%20months%20instead%20of%20every%2012%20months.On HUSKY A, B, or C;Pregnant or postpartum;Foster or former foster care youth under age 26;American Indian or Alaska Native;Veteran with a total disability rating;Medically frail individuals (e.g., blind, disabled, children with serious emotional disturbances, adults with serious mental illness, chronic substance use disorders, serious and complex medical conditions);Participating in a drug or alcohol treatment or rehabilitation program;Individuals already meeting work requirements for SNAP and/or TFA cash;A parent, guardian, or caregiver of a dependent child under age 14 or an individual with a disabilityAn individual released from incarceration for 90 days post release;An individual with a short-term hardship waiverhttps://portal.ct.gov/dss/all-programs/dss-benefits-and-hr1/hr1-for-members?language=en_US#:~:text=You%20do%20not,the%20above%20conditions.Nohttps://portal.ct.gov/dss/all-programs/dss-benefits-and-hr1/hr1-for-members?language=en_US#:~:text=Adults%20on%20HUSKY%20D%20who%3ANohttps://www.cga.ct.gov/ph/BHPOC/related/20260101_2026/20260114/DSS%20Benefits%20and%20HR1.pdfNohttps://portal.ct.gov/dss/all-programs/dss-benefits-and-hr1/hr1-for-members?language=en_US#:~:text=Adults%20on%20HUSKY%20D%20who%3ANohttps://portal.ct.gov/dss/all-programs/dss-benefits-and-hr1/hr1-for-members?language=en_US#:~:text=Adults%20on%20HUSKY%20D%20who%3ABlind, disabled, children with serious emotional disturbances, adults with serious mental illness, chronic substance use disorders, serious and complex medical conditions.https://portal.ct.gov/dss/all-programs/dss-benefits-and-hr1/hr1-for-members?language=en_USTBDhttps://portal.ct.gov/dss/all-programs/dss-benefits-and-hr1/hr1-for-members?language=en_US#:~:text=Adults%20on%20HUSKY%20D%20who%3A1/13/2026State Plan Amendment
DELAWAREExpansion onlyhttps://assist.dhss.delaware.gov/TBDhttps://assist.dhss.delaware.gov/1 monthhttps://assist.dhss.delaware.gov/1/1/2027https://assist.dhss.delaware.gov/Every 6 monthshttps://assist.dhss.delaware.gov/TBDhttps://assist.dhss.delaware.gov/TBDhttps://assist.dhss.delaware.gov/TBDhttps://assist.dhss.delaware.gov/TBDhttps://assist.dhss.delaware.gov/TBDhttps://assist.dhss.delaware.gov/TBD, plans to use federal definitionhttps://assist.dhss.delaware.gov/Claims datahttps://assist.dhss.delaware.gov/6/1/2026State Plan Amendment
*DISTRICT OF COLUMBIAExpansion onlyhttps://dhcf.dc.gov/sites/default/files/dc/sites/dhcf/page_content/attachments/Biweekly%20DHCF%20Eligibility%20Meeting%20052026.pdfWork, volunteer, or schoolhttps://dhcf.dc.gov/sites/default/files/dc/sites/dhcf/page_content/attachments/Biweekly%20DHCF%20Eligibility%20Meeting%20052026.pdf1 monthhttps://dhcf.dc.gov/sites/default/files/dc/sites/dhcf/page_content/attachments/Biweekly%20DHCF%20Eligibility%20Meeting%20052026.pdf1/1/2027https://dhcf.dc.gov/sites/default/files/dc/sites/dhcf/page_content/attachments/Biweekly%20DHCF%20Eligibility%20Meeting%20052026.pdfEvery 6 monthshttps://dhcf.dc.gov/sites/default/files/dc/sites/dhcf/page_content/attachments/Biweekly%20DHCF%20Eligibility%20Meeting%20052026.pdfTBDhttps://dhcf.dc.gov/sites/default/files/dc/sites/dhcf/page_content/attachments/Biweekly%20DHCF%20Eligibility%20Meeting%20052026.pdfNohttps://dhcf.dc.gov/sites/default/files/dc/sites/dhcf/page_content/attachments/Biweekly%20DHCF%20Eligibility%20Meeting%20052026.pdfNohttps://dhcf.dc.gov/sites/default/files/dc/sites/dhcf/page_content/attachments/Biweekly%20DHCF%20Eligibility%20Meeting%20052026.pdfNohttps://dhcf.dc.gov/sites/default/files/dc/sites/dhcf/page_content/attachments/Biweekly%20DHCF%20Eligibility%20Meeting%20052026.pdfNohttps://dhcf.dc.gov/sites/default/files/dc/sites/dhcf/page_content/attachments/Biweekly%20DHCF%20Eligibility%20Meeting%20052026.pdfTBD, plans to use federal definitionhttps://dhcf.dc.gov/sites/default/files/dc/sites/dhcf/page_content/attachments/Biweekly%20DHCF%20Eligibility%20Meeting%20052026.pdfTBDhttps://dhcf.dc.gov/sites/default/files/dc/sites/dhcf/page_content/attachments/Biweekly%20DHCF%20Eligibility%20Meeting%20052026.pdf5/20/2026State Plan Amendment
FLORIDADoes not have Medicaid expansionhttps://triagecancer.org/medicaid-expansion/n/ahttps://www.myflfamilies.com/medicaid#MEn/ahttps://www.myflfamilies.com/medicaid#MEn/ahttps://www.myflfamilies.com/medicaid#MEn/ahttps://www.myflfamilies.com/medicaid#MEn/ahttps://www.myflfamilies.com/medicaid#MEn/ahttps://www.myflfamilies.com/medicaid#MEn/ahttps://www.myflfamilies.com/medicaid#MEn/ahttps://www.myflfamilies.com/medicaid#MEn/ahttps://www.myflfamilies.com/medicaid#MEn/ahttps://www.myflfamilies.com/medicaid#MEn/ahttps://www.myflfamilies.com/medicaid#ME
GEORGIAGeorgia does not have Medicaid expansion, however, requirements apply to people receiving coverage due to waiver & who would be eligible for expansion if they lived in an expansion state (Pathways)https://pathways.georgia.gov/about-pathways/faqs#:~:text=Georgia%20awaits%20future%20guidance%20from%20CMS%20on%20how%20its%20innovative%20program%20interacts%20with%20the%20new%20legislation.%C2%A0At least 80 hours per month of a qualifying activity or combination of activities, including employment, self-employment, on-the-job training, job readiness assistance programs, community service, vocational education training, Georgia Vocational Rehabilitation program enrollment, higher education, SNAP Works Programhttps://pathways.georgia.gov/qualifying-activities1 monthhttps://pathways.georgia.gov/about-pathways/faqs#:~:text=If%2C%20in%20a%20single%20month%2C%20you%20do%20not%20complete%20all%2080%20hours%20of%20qualifying%20activities%2C%20you%20may%20request%20a%20Good%20Cause%20Exception%20for%20the%20hours%20not%20completed.1/1/2027https://pathways.georgia.gov/about-pathways/faqs#:~:text=Georgia%20awaits%20future%20guidance%20from%20CMS%20on%20how%20its%20innovative%20program%20interacts%20with%20the%20new%20legislation.%C2%A0Every 6 monthshttps://pathways.georgia.gov/about-pathways/faqs#:~:text=Georgia%20awaits%20future%20guidance%20from%20CMS%20on%20how%20its%20innovative%20program%20interacts%20with%20the%20new%20legislation.%C2%A0Georgia has not specified how Pathways will change under HR 1, however, currently, someone can be eligible for Pathways if they are engaged in at least 80 hours/month of relative caregiving, or providing caregiving to a relative through Structured Family Caregiving within EDWP or SOURCE, as well as if they are a parent or legal guardian of a child under age 6. In addition, someone can request a Good Cause Exception for up to 120 hours per certification year for reasons such as a family emergency or life event, temporary illness/short term injury, or serious hospitalization of themself or a family member.https://pathways.georgia.gov/maintaining-coverage/good-cause-exceptions#:~:text=Change%20in%20Circumstance-,Good%20Cause%20Exceptions,-Once%20determined%20eligibleNohttps://pathways.georgia.gov/maintaining-coverage/good-cause-exceptions#:~:text=Change%20in%20Circumstance-,Good%20Cause%20Exceptions,-Once%20determined%20eligibleNohttps://pathways.georgia.gov/about-pathways/faqs#:~:text=Georgia%20awaits%20future%20guidance%20from%20CMS%20on%20how%20its%20innovative%20program%20interacts%20with%20the%20new%20legislation.%C2%A0Nohttps://pathways.georgia.gov/maintaining-coverage/good-cause-exceptions#:~:text=Change%20in%20Circumstance-,Good%20Cause%20Exceptions,-Once%20determined%20eligibleNohttps://pathways.georgia.gov/about-pathways/faqs#:~:text=Georgia%20awaits%20future%20guidance%20from%20CMS%20on%20how%20its%20innovative%20program%20interacts%20with%20the%20new%20legislation.%C2%A0TBDhttps://pathways.georgia.gov/about-pathways/faqs#:~:text=Georgia%20awaits%20future%20guidance%20from%20CMS%20on%20how%20its%20innovative%20program%20interacts%20with%20the%20new%20legislation.%C2%A0TBD, but Pathways does require verification documentation for Good Cause Exceptionshttps://pathways.georgia.gov/maintaining-coverage/good-cause-exceptions#:~:text=Good%20Cause%20Exceptions%2C%20Definitions%20and%20Documentation5/1/2026Section 1115 Waiver
HAWAIIExpansion onlyhttps://medquest.hawaii.gov/en/about/recent-news/2026-news-articles/changes-coming-to-med-quest-eligibility-for-adults--.html#:~:text=These%20changes%20only%20impact%20adults%20between%2019%2D64%20who%20are%20not%20Blind%2C%20Disabled%20or%20Pregnant.%C2%A0Working or volunteering at least 80 hours per month, earning a minimum of $580 per month, or enrolled at least half-time in an educational programhttps://medquest.hawaii.gov/en/about/recent-news/2026-news-articles/changes-coming-to-med-quest-eligibility-for-adults--.html#:~:text=either%20working%20or%20volunteering%20at%20least%2080%20hours%20per%20month%C2%A0or%20earning%20a%20minimum%20of%20%24580%20per%20month%20or%20are%20enrolled%20at%20least%20half%2Dtime%20in%20an%20educational%20program1 monthhttps://medquest.hawaii.gov/en/about/recent-news/2026-news-articles/changes-coming-to-med-quest-eligibility-for-adults--.html#:~:text=These%20changes%20only%20impact%20adults%20between%2019%2D64%20who%20are%20not%20Blind%2C%20Disabled%20or%20Pregnant.%C2%A01/1/2027https://medquest.hawaii.gov/en/about/recent-news/2026-news-articles/changes-coming-to-med-quest-eligibility-for-adults--.html#:~:text=Starting%20on%20January%201%2C%202027Every 6 monthshttps://medquest.hawaii.gov/en/about/recent-news/2026-news-articles/changes-coming-to-med-quest-eligibility-for-adults--.html#:~:text=For%C2%A0individuals%C2%A0described%20above%2C%20eligibility%20renewals%20will%20happen%20every%20six%20months%20instead%20of%C2%A0once%C2%A0per%20yearTBDhttps://medquest.hawaii.gov/en/about/recent-news/2026-news-articles/changes-coming-to-med-quest-eligibility-for-adults--.html#:~:text=These%20changes%20only%20impact%20adults%20between%2019%2D64%20who%20are%20not%20Blind%2C%20Disabled%20or%20Pregnant.%C2%A0TBDhttps://medquest.hawaii.gov/en/about/recent-news/2026-news-articles/changes-coming-to-med-quest-eligibility-for-adults--.html#:~:text=These%20changes%20only%20impact%20adults%20between%2019%2D64%20who%20are%20not%20Blind%2C%20Disabled%20or%20Pregnant.%C2%A0TBDhttps://medquest.hawaii.gov/en/about/recent-news/2026-news-articles/changes-coming-to-med-quest-eligibility-for-adults--.html#:~:text=These%20changes%20only%20impact%20adults%20between%2019%2D64%20who%20are%20not%20Blind%2C%20Disabled%20or%20Pregnant.%C2%A0TBDhttps://medquest.hawaii.gov/en/about/recent-news/2026-news-articles/changes-coming-to-med-quest-eligibility-for-adults--.html#:~:text=These%20changes%20only%20impact%20adults%20between%2019%2D64%20who%20are%20not%20Blind%2C%20Disabled%20or%20Pregnant.%C2%A0TBDhttps://medquest.hawaii.gov/en/about/recent-news/2026-news-articles/changes-coming-to-med-quest-eligibility-for-adults--.html#:~:text=These%20changes%20only%20impact%20adults%20between%2019%2D64%20who%20are%20not%20Blind%2C%20Disabled%20or%20Pregnant.%C2%A0TBDhttps://medquest.hawaii.gov/en/about/recent-news/2026-news-articles/changes-coming-to-med-quest-eligibility-for-adults--.html#:~:text=These%20changes%20only%20impact%20adults%20between%2019%2D64%20who%20are%20not%20Blind%2C%20Disabled%20or%20Pregnant.%C2%A0TBDhttps://medquest.hawaii.gov/en/about/recent-news/2026-news-articles/changes-coming-to-med-quest-eligibility-for-adults--.html#:~:text=These%20changes%20only%20impact%20adults%20between%2019%2D64%20who%20are%20not%20Blind%2C%20Disabled%20or%20Pregnant.%C2%A04/22/2026State Plan Amendment
IDAHOExpansion onlyhttps://legislature.idaho.gov/wp-content/uploads/sessioninfo/2026/legislation/H0913.pdfTBDhttps://healthandwelfare.idaho.gov/services-programs/medicaid-health3 months prior to applicationhttps://legislature.idaho.gov/wp-content/uploads/sessioninfo/2026/legislation/H0913.pdf12/31/2026https://legislature.idaho.gov/wp-content/uploads/sessioninfo/2026/legislation/H0913.pdfTBDhttps://healthandwelfare.idaho.gov/services-programs/medicaid-healthTBDhttps://healthandwelfare.idaho.gov/services-programs/medicaid-healthTBDhttps://healthandwelfare.idaho.gov/services-programs/medicaid-healthTBDhttps://healthandwelfare.idaho.gov/services-programs/medicaid-healthTBDhttps://healthandwelfare.idaho.gov/services-programs/medicaid-healthTBDhttps://healthandwelfare.idaho.gov/services-programs/medicaid-healthTBDhttps://healthandwelfare.idaho.gov/services-programs/medicaid-healthTBDhttps://healthandwelfare.idaho.gov/services-programs/medicaid-health3/17/2026State Plan Amendment
ILLINOISExpansion onlyhttps://hfs.illinois.gov/info/fedresctr/medicaidfedpolicychfs.html#:~:text=Non%2Ddisabled%20Medicaid%20customers%20aged%2019%20to%2064%20without%20dependents%20under%20age%2014%20must%20prove%20they%20meet%20certain%20work%2C%20education%2C%20and/or%20community%20service%20requirements%20in%20order%20to%20be%20eligible%20for%20coverage.Work or volunteer 80 hours a week or be enrolled in school part-timehttps://hfs.illinois.gov/info/fedresctr/faqshowwillfedchimpactmedicaid.html#:~:text=Medicaid%20customers%20will%20have%20to%20prove%20they%20work%20or%20volunteer%2080%20hours%20a%20month%20or%20that%20they%20are%20enrolled%20in%20school%20part%2Dtime.%C2%A01 monthhttps://hfs.illinois.gov/info/fedresctr/medicaidfedpolicychfs.html#:~:text=Non%2Ddisabled%20Medicaid%20customers%20aged%2019%20to%2064%20without%20dependents%20under%20age%2014%20must%20prove%20they%20meet%20certain%20work%2C%20education%2C%20and/or%20community%20service%20requirements%20in%20order%20to%20be%20eligible%20for%20coverage.1/1/2027https://hfs.illinois.gov/info/fedresctr/medicaidfedpolicychfs.html#:~:text=Key%20changes%20the%20federal%20government%20plans%20to%20make%20over%20the%20next%203%20years%20include%3AEvery 6 monthshttps://hfs.illinois.gov/info/fedresctr/medicaidfedpolicychfs.html#:~:text=Currently%2C%20the%20state%20is%20required%20to%20verify%20Medicaid%20customer%20eligibility%20annually.%20The%20new%20law%20requires%20that%20states%20verify%20eligibility%20for%20customers%20in%20the%20Affordable%20Care%20Act%20(ACA)%20expansion%20population%20every%20six%20months.%C2%A0People with disabilities, individuals with mental health diagnoses, and individuals with substance use disordershttps://hfs.illinois.gov/info/fedresctr/faqshowwillfedchimpactmedicaid.html#:~:text=Certain%20populations%20will%20be%20exempt%2C%20including%20people%20with%20disabilities%2C%20individuals%20with%20mental%20health%20diagnoses%2C%20and%20individuals%20with%20substance%20use%20disorders.%C2%A0Nohttps://hfs.illinois.gov/info/fedresctr/medicaidfedpolicychfs.html#:~:text=Non%2Ddisabled%20Medicaid%20customers%20aged%2019%20to%2064%20without%20dependents%20under%20age%2014%20must%20prove%20they%20meet%20certain%20work%2C%20education%2C%20and/or%20community%20service%20requirements%20in%20order%20to%20be%20eligible%20for%20coverage.Nohttps://hfs.illinois.gov/info/fedresctr/medicaidfedpolicychfs.html#:~:text=Non%2Ddisabled%20Medicaid%20customers%20aged%2019%20to%2064%20without%20dependents%20under%20age%2014%20must%20prove%20they%20meet%20certain%20work%2C%20education%2C%20and/or%20community%20service%20requirements%20in%20order%20to%20be%20eligible%20for%20coverage.Nohttps://hfs.illinois.gov/info/fedresctr/medicaidfedpolicychfs.html#:~:text=Non%2Ddisabled%20Medicaid%20customers%20aged%2019%20to%2064%20without%20dependents%20under%20age%2014%20must%20prove%20they%20meet%20certain%20work%2C%20education%2C%20and/or%20community%20service%20requirements%20in%20order%20to%20be%20eligible%20for%20coverage.Nohttps://hfs.illinois.gov/info/fedresctr/medicaidfedpolicychfs.html#:~:text=Non%2Ddisabled%20Medicaid%20customers%20aged%2019%20to%2064%20without%20dependents%20under%20age%2014%20must%20prove%20they%20meet%20certain%20work%2C%20education%2C%20and/or%20community%20service%20requirements%20in%20order%20to%20be%20eligible%20for%20coverage.TBDhttps://hfs.illinois.gov/info/fedresctr/medicaidfedpolicychfs.html#:~:text=Non%2Ddisabled%20Medicaid%20customers%20aged%2019%20to%2064%20without%20dependents%20under%20age%2014%20must%20prove%20they%20meet%20certain%20work%2C%20education%2C%20and/or%20community%20service%20requirements%20in%20order%20to%20be%20eligible%20for%20coverage.TBDhttps://hfs.illinois.gov/info/fedresctr/medicaidfedpolicychfs.html#:~:text=Non%2Ddisabled%20Medicaid%20customers%20aged%2019%20to%2064%20without%20dependents%20under%20age%2014%20must%20prove%20they%20meet%20certain%20work%2C%20education%2C%20and/or%20community%20service%20requirements%20in%20order%20to%20be%20eligible%20for%20coverage.10/15/2025State Plan Amendment
INDIANAExpansion onlyhttps://iga.in.gov/pdf-documents/124/2026/senate/bills/SB0001/SB0001.05.ENRH.pdfWorking, participating in a work program, volunteering or performing community service (or a combination of these) for at least 80 hours per month; or completing the TANF or SNAP work requirements; or has a monthly income of at least the federal minimum wage multiplied by 80 hours; or is a seasonal worker who has an average monthly income in the preceding 6 months that is not less than the federal minimum wage multiplied by 80; or enrolled in an attending an accredited educational program at least half timehttps://iga.in.gov/pdf-documents/124/2026/senate/bills/SB0001/SB0001.05.ENRH.pdf3 months prior to applicationhttps://iga.in.gov/pdf-documents/124/2026/senate/bills/SB0001/SB0001.05.ENRH.pdf1/1/2027https://iga.in.gov/pdf-documents/124/2026/senate/bills/SB0001/SB0001.05.ENRH.pdfEvery 6 months (but KFF reports quarterly)https://iga.in.gov/pdf-documents/124/2026/senate/bills/SB0001/SB0001.05.ENRH.pdfSomeone who is: participating in a drug addiction or alcoholic treatment and rehabilitation program; certified as medically frail; pregnant or entitled to postpartum medical assistance; a parent, guardian, or caretaker relative responsible for a dependent child less than 14 years of age; a family caregiver under Section 2 of the RAISE Family Caregivers Act personally providing the care for an individual with a serious medical condition or disability; an inmate of a public institution; an Indian, Urban Indian, or a California Indian; or a Veteran with a total disability ratinghttps://iga.in.gov/pdf-documents/124/2026/senate/bills/SB0001/SB0001.05.ENRH.pdfYeshttps://www.in.gov/medicaid/members/Yeshttps://www.in.gov/medicaid/members/Yeshttps://www.in.gov/medicaid/members/Yeshttps://www.in.gov/medicaid/members/Individuals with disabling mental disorders (including children with serious emotional disturbances and adults with serious mental illness), chronic substance use disorders, serious and complex medical conditions, a physical, intellectual or developmental disability that significantly impairs their ability to perform one or more activities of daily living, or individuals with a disability determination based on Social Security criteria or in States that apply more restrictive criteria than the Supplemental Security Income program, the State plan criteriahttps://iga.in.gov/pdf-documents/124/2026/senate/bills/SB0001/SB0001.05.ENRH.pdfTBDhttps://www.in.gov/medicaid/members/4/22/2026https://www.cbsnews.com/news/new-federal-medicaid-rules-1-month-work-states/State Plan Amendment
IOWAExpansion onlyhttps://hhs.iowa.gov/public-notice/2025-04-15/public-comment-period-iowa-health-and-wellness-plan-ihawp-extensionPaid employment for 80+ hours per month or earn at least $580 per month, enroll in qualifying job training or work program for 80+ hours per month, attend a college or career/technical education program at least half-time, or volunteer work for 80+ hours per month. Can also do a mix of activities totaling 80+ hours per month.https://hhs.iowa.gov/medicaid/plans-programs/iowa-health-wellness-plan/ihawp-community-engagement-requirements#:~:text=.-,Community%20Engagement%20Requirements,-By%20December%201TBDhttps://hhs.iowa.gov/medicaid/member-services12/1/2026https://hhs.iowa.gov/media/15850/download?inlineEvery 6 monthshttps://hhs.iowa.gov/public-notice/2025-04-15/public-comment-period-iowa-health-and-wellness-plan-ihawp-extension#:~:text=What%20are%20the%20number%20and%20percentage%20of%20applicants%20unenrolled%20due%20to%20inability%20to%20demonstrate%20satisfaction%20with%20training%2C%20education%2C%20or%20work%20requirements%20after%20the%20six%20(6)%2Dmonth%20compliance%20period%3FAmerican Indians and Alaska Natives;Caregivers of children under age 14 or individuals with disabilities;Current or recent inmates of a public institution;Individuals in a drug or alcohol treatment program;Individuals who are disabled, medically frail, or have a serious medical condition;Individuals meeting work requirements for FIP or SNAP;Veterans with a total disability rating;Women who are pregnant or receiving postpartum Medicaid https://hhs.iowa.gov/media/15850/download?inlineYeshttps://hhs.iowa.gov/medicaid/member-servicesYeshttps://hhs.iowa.gov/medicaid/member-servicesYeshttps://hhs.iowa.gov/medicaid/member-servicesYeshttps://hhs.iowa.gov/medicaid/member-servicesTBDhttps://hhs.iowa.gov/medicaid/member-servicesTBDhttps://hhs.iowa.gov/medicaid/member-services4/15/2026Amendment to §1115 Iowa Health & Wellness Plan Demonstration
KANSASDoes not have Medicaid expansionhttps://triagecancer.org/medicaid-expansion/n/ahttps://portal.kmap-state-ks.us/PublicPage/Public/Beneficiaryn/ahttps://portal.kmap-state-ks.us/PublicPage/Public/Beneficiaryn/ahttps://portal.kmap-state-ks.us/PublicPage/Public/Beneficiaryn/ahttps://portal.kmap-state-ks.us/PublicPage/Public/Beneficiaryn/ahttps://portal.kmap-state-ks.us/PublicPage/Public/Beneficiaryn/ahttps://portal.kmap-state-ks.us/PublicPage/Public/Beneficiaryn/ahttps://portal.kmap-state-ks.us/PublicPage/Public/Beneficiaryn/ahttps://portal.kmap-state-ks.us/PublicPage/Public/Beneficiaryn/ahttps://portal.kmap-state-ks.us/PublicPage/Public/Beneficiaryn/ahttps://portal.kmap-state-ks.us/PublicPage/Public/Beneficiaryn/ahttps://portal.kmap-state-ks.us/PublicPage/Public/Beneficiary
KENTUCKYExpansion onlyhttps://apps.legislature.ky.gov/CommitteeDocuments/366/35649/09%2016%202025%203.%20UpdateonFederalChangestotheMedicaidProgram.pdfAt least 80 hours per month of working, community service, or participating in a work program, or participating at least half-time in an education program, or a combination of these activities, or having a verifiable monthly income at least 80 times the applicable state minimum wage https://apps.legislature.ky.gov/recorddocuments/bill/26RS/hb2/bill.pdf1 month prior to application for new enrollees. For renewals, members must show compliance for 3 out of the last 6 monthshttps://apps.legislature.ky.gov/record/26rs/hb2.html#:~:text=require%20currently%20enrolled%20Medicaid%20beneficiaries%20to%20demonstrate%20community%20engagement%20for%203%20out%20of%20the%20previous%206%20months%2C%20instead%20of%203%20consecutive%20months%20out%20of%20the%20previous%206%20months.1/1/2027https://apps.legislature.ky.gov/record/26rs/hb2.html#:~:text=require%20Medicaid%20eligibility%20redetermination%20be%20conducted%20every%206%20months%20beginning%20January%201%2C%202027%20instead%20of%20July%201%2C%202026%3BEvery 6 monthshttps://apps.legislature.ky.gov/record/26rs/HB2.html#:~:text=require%20Medicaid%20eligibility%20redetermination%20be%20conducted%20every%206%20months%20beginning%20January%201%2C%202027%20instead%20of%20July%201%2C%202026%3BUnder age 26 and not currently or previously in the foster care system;Eligible for coverage under the Indian Health Service; A parent, guardian, caretaker relative, or family caregiver of a dependent child age 13 or under or a disabled individual; A disabled veteran with a total disability rating;Medically frail or otherwise has special medical needs;An individual subject to work or community engagement requirements imposed under SNAP or TANF, if the individual is in compliance;Participating in a drug or alcohol addiction recovery program;An inmate at a public institution; or pregnant individual or eligible for coverage under KRS 205.592https://apps.legislature.ky.gov/recorddocuments/bill/26RS/hb2/bill.pdfNohttps://apps.legislature.ky.gov/CommitteeDocuments/366/35649/09%2016%202025%203.%20UpdateonFederalChangestotheMedicaidProgram.pdfNohttps://apps.legislature.ky.gov/CommitteeDocuments/366/35649/09%2016%202025%203.%20UpdateonFederalChangestotheMedicaidProgram.pdfNohttps://apps.legislature.ky.gov/CommitteeDocuments/366/35649/09%2016%202025%203.%20UpdateonFederalChangestotheMedicaidProgram.pdfNohttps://apps.legislature.ky.gov/CommitteeDocuments/366/35649/09%2016%202025%203.%20UpdateonFederalChangestotheMedicaidProgram.pdfIncludes someone who is blind or disabled, with a substance use disorder, with a disabled mental condition, with a physical, intellectual, or developmental disability that significantly impairs his or her ability to perform one or more activities of daily living, or with a serious or complex medical conditionhttps://apps.legislature.ky.gov/recorddocuments/bill/26RS/hb2/bill.pdfTBDhttps://apps.legislature.ky.gov/CommitteeDocuments/366/35649/09%2016%202025%203.%20UpdateonFederalChangestotheMedicaidProgram.pdf4/14/2026https://www.kff.org/medicaid/medicaid-work-requirements-tracker-state-national-data-and-policies/State Plan Amendment
LOUISIANAExpansion onlyhttps://ldh.la.gov/assets/medicaid/HR1/HR1GeneralToolkit_04172026.pdfEarn at least $580 per month or complete at least 80 hours per month of working, participating in job training or an apprenticeship, volunteering for community service, or going to school or participating in other education programs (at least half or part-time)https://www.ldh.la.gov/medicaid/work-requirements#:~:text=Medicaid%20members%20meet,or%20part%2Dtime)1 month prior to application for new enrollees. For renewals, at least 1 month in the 6 months prior to renewalhttps://www.ldh.la.gov/medicaid/work-requirements#:~:text=The%20state%20will,to%20October%202026.1/1/2027, will need to be reported at renewalhttps://www.ldh.la.gov/medicaid/work-requirements#:~:text=Work%20requirements%20will%20begin%20with%20members%20up%20for%20renewal%20and%20new%20applicants%20beginning%20January%201%2C%202027.%20Members%20up%20for%20renewal%20in%20January%202027%20will%20be%20mailed%20a%20notice%20about%20work%20requirements%20in%20May%202026%20and%20a%20renewal%20packet%20with%20work%20requirement%20materials%20in%20November%202026Every 6 monthshttps://www.ldh.la.gov/medicaid/work-requirements#:~:text=in%20the%20last%20six%20months%20before%20their%20renewal%20beginsSomeone who is: a former foster youth under age 26;Released from incarceration within the last 3 months;Blind or disabled;Medically frail; Veteran with a total disability rating; Pregnant or in postpartum coverage;Participating in substance use disorder (SUD) or alcohol treatment or rehab;A parent or guardian of a child under age 14;A parent, guardian, caretaker relative, or family caregiver of a person with a disability;Meeting SNAP work requirements; enrolled in or entitled to Medicare Part A or Part B;A Native American or Alaska Native eligible for Indian Health Servicehttps://www.ldh.la.gov/medicaid/work-requirements#:~:text=A%20former%20foster,Indian%20Health%20ServiceNohttps://www.ldh.la.gov/medicaid/work-requirements#:~:text=Medicaid%20members%20meet,or%20part%2Dtime)Nohttps://www.ldh.la.gov/medicaid/work-requirements#:~:text=Medicaid%20members%20meet,or%20part%2Dtime)Nohttps://www.ldh.la.gov/medicaid/work-requirements#:~:text=Medicaid%20members%20meet,or%20part%2Dtime)Nohttps://www.ldh.la.gov/medicaid/work-requirements#:~:text=Medicaid%20members%20meet,or%20part%2Dtime)People with disabling mental disorders, chronic substance use disorders, serious or complex medical conditions, a physical, intellectual or developmental disability that significantly impairs their ability to perform one or more activities of daily living, or a disability determination based on Social Security criteriahttps://www.ldh.la.gov/medicaid/work-requirements#:~:text=A%20member%20may,Social%20Security%20criteria.Claims data, self-attestationhttps://www.ldh.la.gov/medicaid/work-requirements#:~:text=Medicaid%20will%20use%20reliable%20information%20the%20state%20already%20has%2C%20like%20employment%20and%20social%20security%20records%2C%20to%20see%20if%20members%20meet%20the%20requirements.%20Medicaid%20estimates%20this%20will%20allow%20the%20agency%20to%20confirm%20most%20of%20the%20impacted%20members%20meet%20eligibility%20without%20having%20to%20submit%20additional%20paperwork.2/3/2026State Plan Amendment
MAINEExpansion onlyhttps://www.maine.gov/dhhs/sites/maine.gov.dhhs/files/inline-files/ImpactSummary_Medicaid-SNAP-Marketplace_July2025.pdfHave income from work equal to at least $580 per month, which is 80 hours at the federal minimum wage and 39.5 hours at the Maine minimum wage, or volunteer for at least 80 hours per month, or be enrolled at least half-time in an educational programhttps://www.maine.gov/dhhs/sites/maine.gov.dhhs/files/inline-files/Federal%20Budget%20Reconciliation%20Timeline%20for%20MaineCare_Digital%20Layout.pdf1 monthhttps://www.maine.gov/dhhs/sites/maine.gov.dhhs/files/inline-files/ImpactSummary_Medicaid-SNAP-Marketplace_July2025.pdf1/1/2027https://www.maine.gov/dhhs/sites/maine.gov.dhhs/files/inline-files/ImpactSummary_Medicaid-SNAP-Marketplace_July2025.pdfEvery 6 monthshttps://www.maine.gov/dhhs/sites/maine.gov.dhhs/files/inline-files/Federal%20Budget%20Reconciliation%20Timeline%20for%20MaineCare_Digital%20Layout.pdfA parent/guardian/caretaker of children under age 14 or disabled individuals;Someone who is pregnant or receiving postpartum coverage;A foster youth or former foster youth under age 26;Medically frail; Diagnosed with a substance use disorder;Someone already meeting SNAP/TANF work requirements;American Indian or Alaska Native;A veteran who is disabled;Someone who is incarcerated or has been released from incarceration within 90 days; and those who are entitled to or enrolled in Medicare Part A or Part B.https://www.maine.gov/dhhs/sites/maine.gov.dhhs/files/inline-files/Federal%20Budget%20Reconciliation%20Timeline%20for%20MaineCare_Digital%20Layout.pdfTBDhttps://www.maine.gov/dhhs/sites/maine.gov.dhhs/files/inline-files/ImpactSummary_Medicaid-SNAP-Marketplace_July2025.pdfTBDhttps://www.maine.gov/dhhs/sites/maine.gov.dhhs/files/inline-files/ImpactSummary_Medicaid-SNAP-Marketplace_July2025.pdfTBDhttps://www.maine.gov/dhhs/sites/maine.gov.dhhs/files/inline-files/ImpactSummary_Medicaid-SNAP-Marketplace_July2025.pdfTBDhttps://www.maine.gov/dhhs/sites/maine.gov.dhhs/files/inline-files/ImpactSummary_Medicaid-SNAP-Marketplace_July2025.pdfTBDhttps://www.maine.gov/dhhs/sites/maine.gov.dhhs/files/inline-files/ImpactSummary_Medicaid-SNAP-Marketplace_July2025.pdfTBDhttps://www.maine.gov/dhhs/sites/maine.gov.dhhs/files/inline-files/ImpactSummary_Medicaid-SNAP-Marketplace_July2025.pdf7/11/2025State Plan Amendment
MARYLANDExpansion onlyhttps://health.maryland.gov/mmcp/eligibility/Pages/changes.aspx#:~:text=These%20changes%20only%20apply%20to%20some%20adults%20ages%2019%20to%2064%20%2D%20around%20300%2C000%20Marylanders.%20Maryland%20Medicaid%20will%20let%20you%20know%20if%20these%20changes%20apply%20to%20you.At least 80 hours per month of working or volunteering.https://health.maryland.gov/mmcp/eligibility/Pages/changes.aspx#:~:text=You%20will%20need%20to%20complete%2080%20hours%20each%20month%20of%20approved%20activities%20to%20keep%20your%20Medicaid%20coverage.%20Activities%20may%20include%20working%20or%20volunteering.%20Some%20people%20may%20be%20exempt%20from%20this%20rule.%20Maryland%20Medicaid%20will%20share%20more%20information%20as%20it%20becomes%20available.1 monthhttps://health.maryland.gov/mmcp/eligibility/Pages/changes.aspx#:~:text=These%20changes%20only%20apply%20to%20some%20adults%20ages%2019%20to%2064%20%2D%20around%20300%2C000%20Marylanders.%20Maryland%20Medicaid%20will%20let%20you%20know%20if%20these%20changes%20apply%20to%20you.1/1/2027https://dhs.maryland.gov/documents/SNAP/H.R.%201%20MDH_%20DHS%20One%20Pager.pdfEvery 6 monthshttps://dhs.maryland.gov/documents/SNAP/H.R.%201%20MDH_%20DHS%20One%20Pager.pdfTBDhttps://health.maryland.gov/mmcp/eligibility/Pages/changes.aspx#:~:text=You%20will%20need%20to%20complete%2080%20hours%20each%20month%20of%20approved%20activities%20to%20keep%20your%20Medicaid%20coverage.%20Activities%20may%20include%20working%20or%20volunteering.%20Some%20people%20may%20be%20exempt%20from%20this%20rule.%20Maryland%20Medicaid%20will%20share%20more%20information%20as%20it%20becomes%20available.Nohttps://health.maryland.gov/mmcp/eligibility/Pages/changes.aspx#:~:text=These%20changes%20only%20apply%20to%20some%20adults%20ages%2019%20to%2064%20%2D%20around%20300%2C000%20Marylanders.%20Maryland%20Medicaid%20will%20let%20you%20know%20if%20these%20changes%20apply%20to%20you.Nohttps://health.maryland.gov/mmcp/eligibility/Pages/changes.aspx#:~:text=These%20changes%20only%20apply%20to%20some%20adults%20ages%2019%20to%2064%20%2D%20around%20300%2C000%20Marylanders.%20Maryland%20Medicaid%20will%20let%20you%20know%20if%20these%20changes%20apply%20to%20you.Nohttps://health.maryland.gov/mmcp/eligibility/Pages/changes.aspx#:~:text=These%20changes%20only%20apply%20to%20some%20adults%20ages%2019%20to%2064%20%2D%20around%20300%2C000%20Marylanders.%20Maryland%20Medicaid%20will%20let%20you%20know%20if%20these%20changes%20apply%20to%20you.Nohttps://health.maryland.gov/mmcp/eligibility/Pages/changes.aspx#:~:text=These%20changes%20only%20apply%20to%20some%20adults%20ages%2019%20to%2064%20%2D%20around%20300%2C000%20Marylanders.%20Maryland%20Medicaid%20will%20let%20you%20know%20if%20these%20changes%20apply%20to%20you.TBDhttps://health.maryland.gov/mmcp/eligibility/Pages/changes.aspx#:~:text=These%20changes%20only%20apply%20to%20some%20adults%20ages%2019%20to%2064%20%2D%20around%20300%2C000%20Marylanders.%20Maryland%20Medicaid%20will%20let%20you%20know%20if%20these%20changes%20apply%20to%20you.TBDhttps://health.maryland.gov/mmcp/eligibility/Pages/changes.aspx#:~:text=These%20changes%20only%20apply%20to%20some%20adults%20ages%2019%20to%2064%20%2D%20around%20300%2C000%20Marylanders.%20Maryland%20Medicaid%20will%20let%20you%20know%20if%20these%20changes%20apply%20to%20you.12/18/2025State Plan Amendment
MASSACHUSETTSExpansion onlyhttps://www.mass.gov/info-details/masshealth-federal-updates-and-impact#about-the-one-big-beautiful-bill-act-ob3:~:text=Work%20requirements%20and%20six%2Dmonth%20eligibility%20checks%20will%20largely%20impact%20adults%20without%20young%20children%20or%20a%20disability%20who%20are%2019%20through%2064%20years%20old.Working, volunteering, or attending a work program for 80 hours or more a month (or any combination of these activities for at least 80 hours a month), enrolling in education at least half time, or making at least $580 per month. https://www.mass.gov/info-details/federal-changes-affecting-masshealth-members#work-and-education-requirements-for-some-adults-ages-19-to-64-january-2027:~:text=You%20can%20meet%20these%20requirements%20if%20you%3A1 monthhttps://www.mass.gov/info-details/masshealth-federal-updates-and-impact#about-the-one-big-beautiful-bill-act-ob3:~:text=Work%20requirements%20and%20six%2Dmonth%20eligibility%20checks%20will%20largely%20impact%20adults%20without%20young%20children%20or%20a%20disability%20who%20are%2019%20through%2064%20years%20old.1/1/2027https://www.mass.gov/info-details/federal-changes-affecting-masshealth-members#work-and-education-requirements-for-some-adults-ages-19-to-64-january-2027:~:text=January%202027%3A,of%20each%20yearEvery 6 monthshttps://www.mass.gov/info-details/federal-changes-affecting-masshealth-members#work-and-education-requirements-for-some-adults-ages-19-to-64-january-2027:~:text=January%202027%3A,of%20each%20yearYounger than 19;Older than 64;Pregnant or postpartum (that is, you've been pregnant in the last 12 months, no matter the outcome of the pregnancy);A parent, guardian, or caretaker of a dependent child (13 or younger) or someone with a disability;A former foster youth under the age of 26;A veteran with a disability rated as “total”;Someone who is medically frail, including someone who is blind or disabled, who has a substance use disorder or a disabling mental disorder, or who has a serious or complex medical condition;Eligible for or enrolled in Medicare Part A;Enrolled in Medicare Part B;Participating in a drug addiction or alcohol treatment, or rehabilitation program;Meeting TAFDC work requirements or subject to SNAP work requirements;An inmate of a public institution, or were an inmate in the prior 3 months;Indian or Urban Indian, as defined in Section 4 of the Indian Health Care Improvement Act https://www.mass.gov/info-details/federal-changes-affecting-masshealth-members#work-and-education-requirements-for-some-adults-ages-19-to-64-january-2027:~:text=you%20can%20prepare.-,Who%20is%20not%20affected%3A,-You%20will%20notTBDhttps://www.mass.gov/info-details/masshealth-federal-updates-and-impact#about-the-one-big-beautiful-bill-act-ob3:~:text=Work%20requirements%20and%20six%2Dmonth%20eligibility%20checks%20will%20largely%20impact%20adults%20without%20young%20children%20or%20a%20disability%20who%20are%2019%20through%2064%20years%20old.TBDhttps://www.mass.gov/info-details/masshealth-federal-updates-and-impact#about-the-one-big-beautiful-bill-act-ob3:~:text=Work%20requirements%20and%20six%2Dmonth%20eligibility%20checks%20will%20largely%20impact%20adults%20without%20young%20children%20or%20a%20disability%20who%20are%2019%20through%2064%20years%20old.TBDhttps://www.mass.gov/info-details/masshealth-federal-updates-and-impact#about-the-one-big-beautiful-bill-act-ob3:~:text=Work%20requirements%20and%20six%2Dmonth%20eligibility%20checks%20will%20largely%20impact%20adults%20without%20young%20children%20or%20a%20disability%20who%20are%2019%20through%2064%20years%20old.TBDhttps://www.mass.gov/info-details/masshealth-federal-updates-and-impact#about-the-one-big-beautiful-bill-act-ob3:~:text=Work%20requirements%20and%20six%2Dmonth%20eligibility%20checks%20will%20largely%20impact%20adults%20without%20young%20children%20or%20a%20disability%20who%20are%2019%20through%2064%20years%20old.Includes someone who is blind or disabled, who has a substance use disorder or a disabling mental disorder, or who has a serious or complex medical condition; additional information to come https://www.mass.gov/info-details/federal-changes-affecting-masshealth-members#work-and-education-requirements-for-some-adults-ages-19-to-64-january-2027:~:text=Note%3A%20MassHealth%20is%20waiting%20for%20final%20guidance%20from%20the%20federal%20governmeTBDhttps://www.mass.gov/info-details/federal-changes-affecting-masshealth-members#work-and-education-requirements-for-some-adults-ages-19-to-64-january-2027:~:text=Note%3A%20MassHealth%20is%20waiting%20for%20final%20guidance%20from%20the%20federal%20governme3/31/2026State Plan Amendment
MICHIGANExpansion onlyhttps://www.michigan.gov/mdhhs/assistance-programs/medicaid/medicaid-changes#:~:text=For%20adults%20(ages%2019%2D64)%20enrolled%20in%20the%20Healthy%20Michigan%20Plan%20(HMP)Working a job, school or job training, volunteering, or substance use treatment or recovery programshttps://www.michigan.gov/mdhhs/assistance-programs/medicaid/medicaid-changes#:~:text=Approved%20activities%20may%20include%3ATBD for initial application, one month for renewalshttps://www.michigan.gov/mdhhs/assistance-programs/medicaid/medicaid-changes#:~:text=For%20adults%20(ages%2019%2D64)%20enrolled%20in%20the%20Healthy%20Michigan%20Plan%20(HMP)1/1/2027https://www.michigan.gov/mdhhs/assistance-programs/medicaid/medicaid-changes#:~:text=go%20into%20effect%3F-,January%201%2C%202027,-Potential%20exemptions%3AEvery 6 monthshttps://www.michigan.gov/mdhhs/assistance-programs/medicaid/medicaid-changes#:~:text=The%20state%20will%20need%20to%20check%20eligibility%C2%A0every%20six%20months%C2%A0instead%20of%20annually%C2%A0for%20people%20enrolled%20in%20HMP.%C2%A0Potential exemptions include anyone under the age of 19 or over the age of 64, those who have a disability or serious health condition, those who are pregnant, and those caring for a child or family member.https://www.michigan.gov/mdhhs/assistance-programs/medicaid/medicaid-changes#:~:text=Potential%20exemptions%3A,or%20family%20member.Nohttps://www.michigan.gov/mdhhs/assistance-programs/medicaid/medicaid-changes#:~:text=For%20adults%20(ages%2019%2D64)%20enrolled%20in%20the%20Healthy%20Michigan%20Plan%20(HMP)Nohttps://www.michigan.gov/mdhhs/assistance-programs/medicaid/medicaid-changes#:~:text=For%20adults%20(ages%2019%2D64)%20enrolled%20in%20the%20Healthy%20Michigan%20Plan%20(HMP)Nohttps://www.michigan.gov/mdhhs/assistance-programs/medicaid/medicaid-changes#:~:text=For%20adults%20(ages%2019%2D64)%20enrolled%20in%20the%20Healthy%20Michigan%20Plan%20(HMP)Nohttps://www.michigan.gov/mdhhs/assistance-programs/medicaid/medicaid-changes#:~:text=For%20adults%20(ages%2019%2D64)%20enrolled%20in%20the%20Healthy%20Michigan%20Plan%20(HMP)Those who self-attest on a paper application to having a physical, mental, or emotional health condition that causes limitations in activities or live in a medical facility or nursing home. Those who self-attest on an online application to having a physical disability or mental health condition that limits their ability to work, attend school, or take care of their daily needs, or those who need help with activities of daily living or who live in a medical facility or nursing homehttps://www.michigan.gov/-/media/Project/Websites/mdhhs/Folder3/Folder65/Folder2/Folder165/Folder1/Folder265/Attachment_D_-_Medically_Frail_Process.pdf?rev=941dade01fab49ff961a0e089ec89838Self-identification, claims analysis, and health care provider referralhttps://www.michigan.gov/-/media/Project/Websites/mdhhs/Folder3/Folder65/Folder2/Folder165/Folder1/Folder265/Attachment_D_-_Medically_Frail_Process.pdf?rev=941dade01fab49ff961a0e089ec898385/21/2026State Plan Amendment
MINNESOTAExpansion onlyhttps://mn.gov/dhs/federalchanges/#:~:text=What%20are%20the%20changes%2C%20who%20is%20affected%20and%20when%3FEmployment, community service, or work program participation for not less than 80 hours/month, enrollment in an educational program at least half-time, monthly income equivalent to at least 80 hours at federal minimum wage ($580 per month), or average monthly income over 6 months equivalent to 80 hours at federal minimum wage and is a seasonal workerhttps://www.house.mn.gov/comm/docs/f9gdXwiyL0OPt-P7apuclA.pdfTBD for new applicants, 1 month for renewalshttps://mn.gov/dhs/federalchanges/#:~:text=What%20are%20the%20changes%2C%20who%20is%20affected%20and%20when%3F1/1/2027https://mn.gov/dhs/federalchanges/#:~:text=What%20are%20the%20changes%2C%20who%20is%20affected%20and%20when%3FEvery 6 monthshttps://mn.gov/dhs/assets/wondering-about-changes-coming-to-ma-ENG_tcm1053-744281.pdfAmerican Indians, Alaska Natives, and California Indians;Parents, guardians, or caregivers of dependent children 13 years or younger or disabled individuals;Veterans with total disability ratings;Former foster care youth under age 26;Medically frail individuals or those with special medical needs;Individuals complying with TANF work requirements;Members of a household that is in receipt of SNAP and not exempt from SNAP work requirements;Individuals participating in a drug addiction or alcohol treatment and rehabilitation program;Inmates of public institutions;Pregnant individuals or those receiving postpartum coveragehttps://www.house.mn.gov/comm/docs/f9gdXwiyL0OPt-P7apuclA.pdfNohttps://mn.gov/dhs/federalchanges/#:~:text=What%20are%20the%20changes%2C%20who%20is%20affected%20and%20when%3FNohttps://mn.gov/dhs/federalchanges/#:~:text=What%20are%20the%20changes%2C%20who%20is%20affected%20and%20when%3FNohttps://mn.gov/dhs/federalchanges/#:~:text=What%20are%20the%20changes%2C%20who%20is%20affected%20and%20when%3FNohttps://mn.gov/dhs/federalchanges/#:~:text=What%20are%20the%20changes%2C%20who%20is%20affected%20and%20when%3FTBDhttps://mn.gov/dhs/federalchanges/#:~:text=What%20are%20the%20changes%2C%20who%20is%20affected%20and%20when%3FTBDhttps://mn.gov/dhs/federalchanges/#:~:text=What%20are%20the%20changes%2C%20who%20is%20affected%20and%20when%3F3/3/2026State Plan Amendment
MISSISSIPPIDoes not have Medicaid expansionhttps://triagecancer.org/medicaid-expansion/n/ahttps://medicaid.ms.gov/medicaid-coverage/who-qualifies-for-coverage/n/ahttps://medicaid.ms.gov/medicaid-coverage/who-qualifies-for-coverage/n/ahttps://medicaid.ms.gov/medicaid-coverage/who-qualifies-for-coverage/n/ahttps://medicaid.ms.gov/medicaid-coverage/who-qualifies-for-coverage/n/ahttps://medicaid.ms.gov/medicaid-coverage/who-qualifies-for-coverage/n/ahttps://medicaid.ms.gov/medicaid-coverage/who-qualifies-for-coverage/n/ahttps://medicaid.ms.gov/medicaid-coverage/who-qualifies-for-coverage/n/ahttps://medicaid.ms.gov/medicaid-coverage/who-qualifies-for-coverage/n/ahttps://medicaid.ms.gov/medicaid-coverage/who-qualifies-for-coverage/n/ahttps://medicaid.ms.gov/medicaid-coverage/who-qualifies-for-coverage/n/ahttps://medicaid.ms.gov/medicaid-coverage/who-qualifies-for-coverage/
MISSOURIExpansion onlyhttps://mydss.mo.gov/hr1/timeline#:~:text=Requires%20Medicaid%20eligibility%20redeterminations%20every%20six%20months%20for%20adult%20expansion%20enrollees%20or%20those%20receiving%20Minimum%20Essential%20Coverage%20(MEC)%20through%20a%20waiver.%20Current%2012%2Dmonth%20requirement%20remains%20for%20all%20other%20populations.80 hours per month of work, volunteering, caregiving, or school enrollmenthttps://mydss.mo.gov/hr1/participant-resources#:~:text=Adults%20aged%2019%2D64%20must%20now%20report%2080%20hours%20per%20month%20of%20work%2C%20volunteering%2C%20caregiving%2C%20or%20school%20enrollment%2C%20unless%20they%20qualify%20for%20exemptions1 monthhttps://mydss.mo.gov/hr1/timeline#:~:text=Requires%20Medicaid%20eligibility%20redeterminations%20every%20six%20months%20for%20adult%20expansion%20enrollees%20or%20those%20receiving%20Minimum%20Essential%20Coverage%20(MEC)%20through%20a%20waiver.%20Current%2012%2Dmonth%20requirement%20remains%20for%20all%20other%20populations.1/1/2027https://mydss.mo.gov/hr1/timeline#:~:text=Requires%20Medicaid%20eligibility%20redeterminations%20every%20six%20months%20for%20adult%20expansion%20enrollees%20or%20those%20receiving%20Minimum%20Essential%20Coverage%20(MEC)%20through%20a%20waiver.%20Current%2012%2Dmonth%20requirement%20remains%20for%20all%20other%20populations.Every 6 monthshttps://mydss.mo.gov/hr1/timeline#:~:text=Requires%20Medicaid%20eligibility%20redeterminations%20every%20six%20months%20for%20adult%20expansion%20enrollees%20or%20those%20receiving%20Minimum%20Essential%20Coverage%20(MEC)%20through%20a%20waiver.%20Current%2012%2Dmonth%20requirement%20remains%20for%20all%20other%20populations.TBDhttps://mydss.mo.gov/hr1/timeline#:~:text=Requires%20Medicaid%20eligibility%20redeterminations%20every%20six%20months%20for%20adult%20expansion%20enrollees%20or%20those%20receiving%20Minimum%20Essential%20Coverage%20(MEC)%20through%20a%20waiver.%20Current%2012%2Dmonth%20requirement%20remains%20for%20all%20other%20populations.TBDhttps://mydss.mo.gov/hr1/timeline#:~:text=Requires%20Medicaid%20eligibility%20redeterminations%20every%20six%20months%20for%20adult%20expansion%20enrollees%20or%20those%20receiving%20Minimum%20Essential%20Coverage%20(MEC)%20through%20a%20waiver.%20Current%2012%2Dmonth%20requirement%20remains%20for%20all%20other%20populations.Nohttps://mydss.mo.gov/hr1/timeline#:~:text=Requires%20Medicaid%20eligibility%20redeterminations%20every%20six%20months%20for%20adult%20expansion%20enrollees%20or%20those%20receiving%20Minimum%20Essential%20Coverage%20(MEC)%20through%20a%20waiver.%20Current%2012%2Dmonth%20requirement%20remains%20for%20all%20other%20populations.Nohttps://mydss.mo.gov/hr1/timeline#:~:text=Requires%20Medicaid%20eligibility%20redeterminations%20every%20six%20months%20for%20adult%20expansion%20enrollees%20or%20those%20receiving%20Minimum%20Essential%20Coverage%20(MEC)%20through%20a%20waiver.%20Current%2012%2Dmonth%20requirement%20remains%20for%20all%20other%20populations.Yeshttps://mydss.mo.gov/hr1/timeline#:~:text=Requires%20Medicaid%20eligibility%20redeterminations%20every%20six%20months%20for%20adult%20expansion%20enrollees%20or%20those%20receiving%20Minimum%20Essential%20Coverage%20(MEC)%20through%20a%20waiver.%20Current%2012%2Dmonth%20requirement%20remains%20for%20all%20other%20populations.TBDhttps://mydss.mo.gov/hr1/timeline#:~:text=Requires%20Medicaid%20eligibility%20redeterminations%20every%20six%20months%20for%20adult%20expansion%20enrollees%20or%20those%20receiving%20Minimum%20Essential%20Coverage%20(MEC)%20through%20a%20waiver.%20Current%2012%2Dmonth%20requirement%20remains%20for%20all%20other%20populations.TBDhttps://mydss.mo.gov/hr1/timeline#:~:text=Requires%20Medicaid%20eligibility%20redeterminations%20every%20six%20months%20for%20adult%20expansion%20enrollees%20or%20those%20receiving%20Minimum%20Essential%20Coverage%20(MEC)%20through%20a%20waiver.%20Current%2012%2Dmonth%20requirement%20remains%20for%20all%20other%20populations.12/3/2025State Plan Amendment
MONTANAExpansion onlyhttps://dphhs.mt.gov/medicaidchanges/faqs#:~:text=Who%20has%20to%20follow%20the%20new%20community%20engagement%20requirements%3FAt least 80 hours per month of working at a job (part-time or full-time), community service or volunteering, State of Montana workforce training programs, job readiness programs through the Montana Department of Labor & Industry, internships or registered apprenticeships, attending college or vocational training. You can combine activities to reach 80 hours.https://dphhs.mt.gov/assets/medicaidchanges/Community-Engagement-Requirements-Flyer.pdfNew applicants must meet the requirement for the month prior to application. Current Medicaid enrollees must show they have met this requirement for at least 3 months since their last redetermination.https://dphhs.mt.gov/assets/medicaidchanges/Community-Engagement-Requirements-Flyer.pdf7/1/2026; First group impacted is those determined eligible or renewed in July 2026https://dphhs.mt.gov/medicaidchanges/#:~:text=Beginning%20in%20July%202026Every 6 monthshttps://dphhs.mt.gov/medicaidchanges/faqs#:~:text=Who%20has%20to%20follow%20the%20new%20community%20engagement%20requirements%3FAmerican Indian/Alaska Natives (also exempt from 6 month redeterminations)​;Children ages 18 or younger​;Adults ages 65 or older​;Pregnant people and postpartum individuals (up to 12 months);Former Foster Youth;Parents or caregivers of children under age 14​;Parents/caregivers of persons with disabilities​;Veterans with disabilities rated as total​;People who are medically frail​;People enrolled in treatment programs for substance use disorder​;Individuals currently incarcerated or recently released​;Individuals eligible for Medicarehttps://dphhs.mt.gov/medicaidchanges/faqs#:~:text=Who%20has%20to%20follow%20the%20new%20community%20engagement%20requirements%3FNohttps://dphhs.mt.gov/medicaidchanges/faqs#:~:text=Who%20has%20to%20follow%20the%20new%20community%20engagement%20requirements%3FNohttps://dphhs.mt.gov/medicaidchanges/faqs#:~:text=Who%20has%20to%20follow%20the%20new%20community%20engagement%20requirements%3FNohttps://dphhs.mt.gov/medicaidchanges/faqs#:~:text=Who%20has%20to%20follow%20the%20new%20community%20engagement%20requirements%3FNohttps://dphhs.mt.gov/medicaidchanges/faqs#:~:text=Who%20has%20to%20follow%20the%20new%20community%20engagement%20requirements%3FTBDhttps://dphhs.mt.gov/medicaidchanges/faqs#:~:text=Who%20has%20to%20follow%20the%20new%20community%20engagement%20requirements%3FTBDhttps://dphhs.mt.gov/medicaidchanges/faqs#:~:text=Note%20that%20DPHHS%20is%20still%C2%A0in%20the%20process%20of%20defining%C2%A0%E2%80%9Cmedically%20frail%E2%80%9D%C2%A0in%20relation%20to%20this%20program%2C%20and%20no%20final%20decisions%20have%20been%20made.%C2%A05/21/2026State Plan Amendment
NEBRASKAExpansion onlyhttps://dhhs.ne.gov/Pages/WorkRequirements.aspxWorking, attending school or an apprenticeship, participating in a work program, or volunteering. Must spend at least 80 hours per month doing one of these activities or attending school or an apprenticeship at least half time; or work and earn $580 in a calendar month or average monthly income from working over the last 6 months from seasonal work is at least $580.https://dhhs.ne.gov/Pages/WorkRequirements.aspx#:~:text=Work%20requirement%20activities%20include%3AFor those currently on Medicaid, any 1 calendar month since your last renewal. For new applicants, either the calendar month you apply or the prior calendar monthhttps://dhhs.ne.gov/Pages/WorkRequirements.aspx#:~:text=When%20do%20I%20have%20to%20meet%20Work%20Requirements%3FAs of 5/1/2026; however, those with renewal dates in May or June 2026 won't need to show they've met work requirements until their 2027 renewalhttps://dhhs.ne.gov/Pages/WorkRequirements.aspxEvery 6 monthshttps://www.kff.org/medicaid/a-closer-look-at-nebraska-the-first-state-planning-to-implement-a-medicaid-work-requirement/#:~:text=%E2%80%A2%20At%20renewal%3A%20every%206,frequently%20than%20every%206%20months.Under age 26 & aged out of foster care;Member of a federally recognized Native American tribe, an Urban Indian, a California Indian, or if you receive services through the Indian Health Service;Parent or caretaker of a child age 13 or younger;Caring for a person with a disability;A veteran with a total disability rating;Have a medical condition that prevents you from working (see Medically Frail);In a household that gets SNAP or TANF and comply with certain conditions with work requirements;In a qualified drug or alcohol treatment program;In jail or recently released;Pregnant or up to 12 months postpartum (& had Medicaid while pregnant)https://dhhs.ne.gov/Pages/WorkRequirements.aspx#:~:text=Temporary%20Hardships-,You%20may%20not%20need%20to%20complete%20work%20requirement%20activities%20if%3A,unemployment%20rate%20(8%20percent%20or%201.5%20times%20the%20national%20unemployment%20rate),-If%20you%20wereNohttps://dhhs.ne.gov/Pages/WorkRequirements.aspx?utm_source=chatgpt.com#:~:text=Temporary%20Hardships-,You%20may%20not%20need%20to%20complete%20work%20requirement%20activities%20if%3A,-You%20were%20inNohttps://dhhs.ne.gov/Pages/WorkRequirements.aspx#:~:text=Temporary%20Hardships-,You%20may%20not%20need%20to%20complete%20work%20requirement%20activities%20if%3A,unemployment%20rate%20(8%20percent%20or%201.5%20times%20the%20national%20unemployment%20rate),-If%20you%20wereNohttps://dhhs.ne.gov/Pages/WorkRequirements.aspx#:~:text=Temporary%20Hardships-,You%20may%20not%20need%20to%20complete%20work%20requirement%20activities%20if%3A,unemployment%20rate%20(8%20percent%20or%201.5%20times%20the%20national%20unemployment%20rate),-If%20you%20wereNohttps://dhhs.ne.gov/Pages/WorkRequirements.aspx#:~:text=Temporary%20Hardships-,You%20may%20not%20need%20to%20complete%20work%20requirement%20activities%20if%3A,unemployment%20rate%20(8%20percent%20or%201.5%20times%20the%20national%20unemployment%20rate),-If%20you%20wereSomeone who has: blindness or disability, substance use disorder, a disabling mental health condition, a serious or complex medical condition, or a serious physical, intellectual, or developmental disabilityhttps://dhhs.ne.gov/Documents/MLTC-WR-Requirements-FAQ.pdfIf applying for the first time, the person will complete a declaration form. If already enrolled, Medicaid will use information it already has to check, and will contact the person if they need more information.https://dhhs.ne.gov/Documents/MLTC-WR-Requirements-FAQ.pdf5/19/2026State Plan Amendment
NEVADAExpansion onlyhttps://www.nevadamedicaid.nv.gov/WorkRequrements/new-requirements/#:~:text=Three%20major%20changes%20are%20coming%20to%20Nevada%20Medicaid%20for%20some%20adults%20in%20the%20expansion%20groupMust complete 80 hours per month of qualifying activities including working, job training, volunteering, school, or self-employment Employment: Working at least 80 hours a month for an employerSchool: Enrolled at least part-time in an educationJob Training: Apprenticeship or trade program for at least 80 hours per month Self Employment: Earning $580+ per month from your own work Community Service: Volunteering at least 80 hours per monthSeasonal Work: Average $580 a month over a 6-month seasonhttps://www.nevadamedicaid.nv.gov/WorkRequrements/new-requirements/#:~:text=Must%20complete%2080%20hours/%20month%20of%20qualifying%20activity%20or%20activities%20to%20enroll%20or%20maintain%20Medicaid%20coverage1 monthhttps://www.nevadamedicaid.nv.gov/WorkRequrements/new-requirements/#:~:text=Three%20major%20changes%20are%20coming%20to%20Nevada%20Medicaid%20for%20some%20adults%20in%20the%20expansion%20group1/1/2027https://www.nevadamedicaid.nv.gov/WorkRequrements/new-requirements/#:~:text=Applies%20to%20new%20enrollment%20renewals%20starting%20January%201%2C%202027%C2%A0Every 6 monthshttps://www.nevadamedicaid.nv.gov/WorkRequrements/new-requirements/#:~:text=New%20law%20requires%20renewal%20every%206%20monthsChildren & youth;Foster youth & former foster youth;Parents of children 13 & under;Seniors;Pregnant/postpartum;American Indians & Alaska Natives;Veterans with total disability;People who also have Medicare;Physical, intellectual, or developmental disabilities;Serious mental health conditions;Substance use disorder;Complex or serious medical needs;Currently in substance use disorder or other serious health treatment;Incarcerated or recently released;Caregiver of a person with a disability;Already meeting TANF or SNAP work requirements https://www.nevadamedicaid.nv.gov/WorkRequrements/who-is-exempt/#:~:text=Many%20people%20are%20automatically%20exempt%20and%20do%20NOT%20need%20to%20meet%20work%20requirements.%20These%20exemptions%20are%20based%20on%20a%20few%20factors%2C%20including%3A%C2%A0Nohttps://www.nevadamedicaid.nv.gov/WorkRequrements/new-requirements/#:~:text=Three%20major%20changes%20are%20coming%20to%20Nevada%20Medicaid%20for%20some%20adults%20in%20the%20expansion%20groupNohttps://www.nevadamedicaid.nv.gov/WorkRequrements/new-requirements/#:~:text=Three%20major%20changes%20are%20coming%20to%20Nevada%20Medicaid%20for%20some%20adults%20in%20the%20expansion%20groupNohttps://www.nevadamedicaid.nv.gov/WorkRequrements/new-requirements/#:~:text=Three%20major%20changes%20are%20coming%20to%20Nevada%20Medicaid%20for%20some%20adults%20in%20the%20expansion%20groupNohttps://www.nevadamedicaid.nv.gov/WorkRequrements/new-requirements/#:~:text=Three%20major%20changes%20are%20coming%20to%20Nevada%20Medicaid%20for%20some%20adults%20in%20the%20expansion%20groupNevada has a draft approach that includes specific definitions for each federal categoryhttps://www.nevadamedicaid.nv.gov/WorkRequrements/medically-frail-definition/#:~:text=Defining%20%27Medically%20Frail%27Plan to use a screening tool and self-declarationhttps://www.nevadamedicaid.nv.gov/WorkRequrements/medically-frail-definition/#:~:text=Defining%20%27Medically%20Frail%276/4/2026State Plan Amendment
NEW HAMPSHIREExpansion onlyhttps://gc.nh.gov/bill_Status/billinfo.aspx?id=1133&inflect=2#:~:text=(b)%20%C2%A0%E2%80%9CWork%20requirements%E2%80%9D%20mean%20the%20Medicaid%20community%20engagement%20and%20work%20requirements%20established%20under%20Section%2071119%20of%20Public%20Law%20No.%20119%2D21.80 hours of work or community engagement activities each month, including work for pay, participation in a job training program, school attendance (at least half time), volunteering, or a combination of these activitieshttps://www.dhhs.nh.gov/programs-services/stay-covered-new-hampshire/stay-covered-nh-information-people-medicaid1 month for application, 3 months for renewalhttps://gc.nh.gov/bill_Status/billinfo.aspx?id=1133&inflect=2#:~:text=%C2%A0No%20applicable%20individual%20shall%20be%20enrolled%20in%20Medicaid%20unless%2C%20at%20the%20time%20of%20application%2C%20the%20individual%20demonstrates%20compliance%20with%20the%20work%20requirements%20for%20the%20one%20month%20immediately%20preceding%20the%20month1/1/2027https://www.dhhs.nh.gov/programs-services/stay-covered-new-hampshire/stay-covered-nh-information-people-medicaidQuarterlyhttps://gc.nh.gov/bill_Status/billinfo.aspx?id=1133&inflect=2#:~:text=The%20department%20of%20health%20and%20human%20services%20shall%20verify%20an%20applicable%20individual%E2%80%99s%20compliance%20with%20documentary%20evidence.%20%C2%A0Verification%20shall%20occur%20on%20an%20ongoing%20basis%2C%20at%20least%20quarterly%20between%20redetermination%20periods.%20Self%2Dattestation%20shall%20not%20be%20accepted.%20%C2%A0Someone who is younger than 19;Older than 64;Pregnant or postpartum;A parent, guardian, or caretaker of a dependent child (13 or younger) or someone with a disability;A former foster youth under age 26;A veteran with a disability rated as total;Medically frail, including someone who is blind or disabled, who has a substance use disorder or a disabling mental disorder, or who has a serious or complex medical condition; Eligible for or enrolled in Medicare Part A, enrolled in Medicare Part B;Participating in a drug addiction or alcohol treatment, or rehabilitation program;Meeting TANF work requirements or subject to SNAP work requirements;An inmate of a public institution, or was an inmate in the prior 3 months;Indian or Urban Indianhttps://www.dhhs.nh.gov/programs-services/stay-covered-new-hampshire/stay-covered-nh-information-people-medicaidTBDhttps://www.dhhs.nh.gov/programs-services/stay-covered-new-hampshire/stay-covered-nh-information-people-medicaidTBDhttps://www.dhhs.nh.gov/programs-services/stay-covered-new-hampshire/stay-covered-nh-information-people-medicaidTBDhttps://www.dhhs.nh.gov/programs-services/stay-covered-new-hampshire/stay-covered-nh-information-people-medicaidTBDhttps://www.dhhs.nh.gov/programs-services/stay-covered-new-hampshire/stay-covered-nh-information-people-medicaidPlans to follow federal definitionhttps://gc.nh.gov/bill_Status/billinfo.aspx?id=1133&inflect=2#:~:text=The%20department%20of%20health%20and%20human%20services%20shall%20only,modified%20in%20Public%20Law%20119%2D21%2C%20Section%2071119%20(2025)Certified statement from a physician, physician associate, nurse, nurse practitioner, designated representative of the physician's office, licensed or certified psychologist, or a social workerhttps://gc.nh.gov/bill_Status/billinfo.aspx?id=1133&inflect=2#:~:text=The%20department%20of%20health%20and%20human%20services%20shall%20only,modified%20in%20Public%20Law%20119%2D21%2C%20Section%2071119%20(2025)3/27/2026https://www.nhpr.org/nh-news/2025-11-14/nh-one-step-closer-to-imposing-work-requirements-for-medicaid-expansion-recipientsSection 1115 Waiver
NEW JERSEYExpansion onlyhttps://www.nj.gov/humanservices/dmahs/obbba/medicaid-federal-changes.shtml#:~:text=Certain%20adults%20aged%2019%20to%2064%20will%20have%20to%20work%2C%20volunteer%2C%20or%20go%20to%20school%20to%20keep%20their%20coverage%20or%20qualify%20for%20NJ%20FamilyCare.%20This%20is%20called%20%E2%80%9Ccommunity%20engagement.%E2%80%9D%20These%20members%20must%20also%20renew%20their%20coverage%20every%206%20months%20(instead%20of%20every%2012%20months).Make $580 or more per month or work, attend a work program, go to school, or serve your community in any combination for at least 80 hours per monthhttps://njfamilycare.dhs.state.nj.us/docs/NJFC-HR1-WR-ENGLISH.pdf1 monthhttps://www.nj.gov/humanservices/dmahs/obbba/medicaid-federal-changes.shtml#:~:text=Certain%20adults%20aged%2019%20to%2064%20will%20have%20to%20work%2C%20volunteer%2C%20or%20go%20to%20school%20to%20keep%20their%20coverage%20or%20qualify%20for%20NJ%20FamilyCare.%20This%20is%20called%20%E2%80%9Ccommunity%20engagement.%E2%80%9D%20These%20members%20must%20also%20renew%20their%20coverage%20every%206%20months%20(instead%20of%20every%2012%20months).1/1/2027https://www.nj.gov/humanservices/dmahs/obbba/medicaid-federal-changes.shtml#:~:text=Certain%20adults%20aged%2019%20to%2064%20will%20have%20to%20work%2C%20volunteer%2C%20or%20go%20to%20school%20to%20keep%20their%20coverage%20or%20qualify%20for%20NJ%20FamilyCare.%20This%20is%20called%20%E2%80%9Ccommunity%20engagement.%E2%80%9D%20These%20members%20must%20also%20renew%20their%20coverage%20every%206%20months%20(instead%20of%20every%2012%20months).Every 6 monthshttps://www.nj.gov/humanservices/dmahs/obbba/medicaid-federal-changes.shtml#:~:text=Other%20adults%20aged%2019%20to%2064%20may%20be%20exempt%20from%20the%20requirement%20to%20work%2C%20volunteer%2C%20or%20go%20to%20school%2C%20but%20they%20may%20still%20have%20to%20renew%20their%20coverage%20every%206%20months.Children age 18 years or younger;Aged, Blind, Disabled (ABD) members;The parent or caregiver of a child under age 14 or a disabled person;Person with a serious physical health condition, mental health condition, or substance use/addiction;Meeting SNAP food assistance work requirements;Pregnant;Within 1 year postpartum (after a pregnancy has ended);Current or former foster youth under age 26 (and was still in foster care when turned 18);Currently or recently in jail or prison;Members of a Tribe;NJ has an online tool to check whether the requirements applyhttps://www.nj.gov/humanservices/dmahs/obbba/medicaid-federal-changes.shtml#:~:text=You%20may%20NOT%20have%20to%20work%2C%20volunteer%2C%20or%20go%20to%20school%20if%20any%20of%20the%20following%20describe%20you%3A%C2%A0Nohttps://www.nj.gov/humanservices/documents/PPTMedicaidImpact.pdfNohttps://www.nj.gov/humanservices/documents/PPTMedicaidImpact.pdfNohttps://www.nj.gov/humanservices/documents/PPTMedicaidImpact.pdfNohttps://www.nj.gov/humanservices/documents/PPTMedicaidImpact.pdfWill likely include individuals with serious mental illness, substance use disorder, and intellectual/developmental disabilitieshttps://www.nj.gov/humanservices/documents/PPTMedicaidImpact.pdfTBDhttps://www.nj.gov/humanservices/dmahs/obbba/medicaid-federal-changes.shtml#:~:text=Certain%20adults%20aged%2019%20to%2064%20will%20have%20to%20work%2C%20volunteer%2C%20or%20go%20to%20school%20to%20keep%20their%20coverage%20or%20qualify%20for%20NJ%20FamilyCare.%20This%20is%20called%20%E2%80%9Ccommunity%20engagement.%E2%80%9D%20These%20members%20must%20also%20renew%20their%20coverage%20every%206%20months%20(instead%20of%20every%2012%20months).7/23/2025Section 1115 Demonstration
NEW MEXICOExpansion onlyhttps://www.hca.nm.gov/medicaidchanges/#:~:text=Starting%20Jan.%201,for%20another%20exemption.A total of 80 hours per month of any combination of: Work, Volunteering, Attending school at least half-time (includes general educational development (GED), high school, college, and technical/vocational programs), Participating in a work training program, Seasonal worker with an average income of at least $580 over the last 6 months, or Have monthly income of at least $580 each month. https://www.hca.nm.gov/medicaidchanges/#:~:text=HOW%20TO%20REPORT%20YOUR%20WORK%20OR%20ACTIVITY%20HOURS%C2%A0%C2%A01 monthhttps://www.hca.nm.gov/medicaidchanges/#:~:text=At%20your%20renewal%2C%20you%20may%20be%20asked%20to%20provide%20proof%20that%20you%20completed%2080%20hours%20of%20work%20or%20activities%20in%20any%20month%20since%20your%20last%20renewal.%C2%A01/1/27; individuals will need to provide proof at time of renewal, starting with March 2027 renewal dateshttps://www.hca.nm.gov/medicaidchanges/#:~:text=In%20January%2C%20New%20Mexico%20Medicaid%20will%20mail%20letters%20to%20members%20with%20a%20March%202027%20renewal%20date.%20If%20a%20member%20must%20comply%20with%20work%20or%20activity%20requirements%2C%20they%20may%20need%20to%20show%20proof%20of%20compliance%20or%20notify%20us%20of%20their%20exemption%20in%20order%20to%20keep%20their%20Medicaid%20coverage.%C2%A0Every 6 monthshttps://www.hca.nm.gov/medicaidchanges/#:~:text=Many%20Medicaid%20members%20will%20have%20to%20renew%20their%20coverage%20every%20six%20months.Parent, guardian, caretaker relative or family caregiver of a dependent child under the age of 14 or a disabled individual;Pregnant women or individuals entitle to postpartum medical assistance;Entitled to Medicare Part A or enrolled in Medicare Part B;Foster youth and former foster youth ages 18 up to 26;American Indian / Alaska Natives;Veterans with disability rated as total;Medically frail individuals (blindness or disability, substance abuse disorder, mental disorder, significant physical or intellectual disability);Individuals who are participating in a substance use disorder or alcohol use disorder treatment program;Individuals who are already in compliance with the work requirements under the TANF program or SNAP;Individuals who are incarcerated or recently released from incarceration within the past 90 dayshttps://www.hca.nm.gov/medicaidchanges/#:~:text=Parent%2C%20guardian%2C%20caretaker,past%2090%20daysNohttps://www.hca.nm.gov/medicaidchanges/#:~:text=Hospitalized%20or%20living%20in%20a%20nursing%20home%20or%20similar%20facility.%20This%20exemption%20must%20be%20requested%20by%20the%20individual.No (for individuals, does not say if it applies for dependents)https://www.hca.nm.gov/medicaidchanges/#:~:text=Individuals%20having%20to%20travel%20outside%20their%20community%20to%20receive%20medical%20services%20necessary%20to%20treat%20a%20serious%20or%20complex%20health%20condition%20that%20are%20not%20available%20in%20the%20community%20of%20residence.Nohttps://www.hca.nm.gov/medicaidchanges/#:~:text=An%20individual%20living%20in%20a%20county%20under%20a%20federal%20emergency%20declaration%20OR%20with%20a%20high%20unemployment%20rate%20(85%20or%201.5%20times%20the%20national%20unemployment%20rate).Nohttps://www.hca.nm.gov/medicaidchanges/#:~:text=An%20individual%20living%20in%20a%20county%20under%20a%20federal%20emergency%20declaration%20OR%20with%20a%20high%20unemployment%20rate%20(85%20or%201.5%20times%20the%20national%20unemployment%20rate).Blindness or disability, substance abuse disorder, mental disorder, significant physical or intellectual disabilityhttps://www.hca.nm.gov/medicaidchanges/#:~:text=blindness%20or%20disability%2C%20substance%20abuse%20disorder%2C%20mental%20disorder%2C%20significant%20physical%20or%20intellectual%20disabilityTBDgoogle.com/url?q=https://www.hca.nm.gov/medicaidchanges/%23:~:text%3DStarting%2520Jan.%25201,for%2520another%2520exemption.&sa=D&source=editors&ust=1780956543596005&usg=AOvVaw3GrVMina8Mz8jgyxW1Ujkg5/20/2026https://www.hca.nm.gov/wp-content/uploads/Section-13-ABP-Medically-Frail-and-ABP-Exempt-MC-Policy-Manual_Eff-07.01.24-Rev.-04.19.24-2.pdf (Medical frailty prior to OBBBA)State Plan Amendment
NEW YORKExpansion onlyhttps://info.nystateofhealth.ny.gov/stay-coveredEarn income of $580 per month, or work at least 80 hours per month at a job where you get paid; go to school at least half-time; join a job training or work program; volunteer or help out in your community; or a combination of these activitieshttps://info.nystateofhealth.ny.gov/stay-covered#:~:text=If%20this%20rule,activities%20(A%2DD)1 monthhttps://info.nystateofhealth.ny.gov/stay-covered1/1/2027https://info.nystateofhealth.ny.gov/stay-covered#:~:text=Some%20adults%20ages%2019%E2%80%9364%20will%20have%20new%20work%20requirements%20for%20Medicaid%20coverage.Every 6 months for those who apply to Medicaid after 1/1/27, or renew after 3/1/27; if you apply before 1/1/27, or renew before 3/1/27, if eligible, you are covered for 12 months and have 6 month renewals after thathttps://info.nystateofhealth.ny.gov/stay-covered#:~:text=Some%20adults%20ages%2019%E2%80%9364%20will%20need%20to%20renew%20their%20Medicaid%20every%206%20months%20instead%20of%20once%20a%20year.18 years old or younger;65 years old or older;Pregnant, or were pregnant in the last 12 months;Enrolled in Medicaid with a disability;Diagnosed with a physical or mental health condition that makes it hard to work;Entitled to, or enrolled in Medicare Part A or enrolled in Part B;American Indian or Alaska Native;A parent, guardian, or caregiver to a disabled individual;A parent, guardian, or caretaker to a child under 14;In a SNAP household, and subject to SNAP work requirements;Enrolled in TANF and meeting TANF work requirements;In a program to help with drug or alcohol use;Currently in jail or prison, or released in the last 90 days;Currently in foster care;If you were formerly in foster care and discharged between the ages of 18–21, you are exempt until age 26;A veteran with a total disability ​https://info.nystateofhealth.ny.gov/stay-covered#:~:text=This%20rule%20is%20for%20adults%20who%20have%20Medicaid%20coverage.%20But%20many%20people%20do%20not%20have%20to%20follow%20this%20rule%2C%20including%20people%20who%20are%3A%C2%A0TBDhttps://info.nystateofhealth.ny.gov/stay-coveredYeshttps://info.nystateofhealth.ny.gov/stay-coveredNohttps://info.nystateofhealth.ny.gov/stay-coveredNohttps://info.nystateofhealth.ny.gov/stay-coveredTBDhttps://info.nystateofhealth.ny.gov/stay-coveredClaims data, self-attestationhttps://info.nystateofhealth.ny.gov/stay-covered4/16/2026State Plan Amendment
NORTH CAROLINAExpansion onlyhttps://medicaid.ncdhhs.gov/beneficiaries/impact-hr-1-and-federal-changes-medicaid#:~:text=Requires%20some%20low,meet%20an%20exemption.At least 80 hours per month of qualifying activities (work, participation in a work training program, or volunteer in the community) or attend school at least half-timehttps://medicaid.ncdhhs.gov/beneficiaries/impact-hr-1-and-federal-changes-medicaid#:~:text=Requires%20some%20low,meet%20an%20exemption.3 monthshttps://medicaid.ncdhhs.gov/beneficiaries/impact-hr-1-and-federal-changes-medicaid#1/1/2027https://medicaid.ncdhhs.gov/beneficiaries/impact-hr-1-and-federal-changes-medicaid#:~:text=Begins%20January%201%2C%202027%C2%A0Every 6 monthshttps://medicaid.ncdhhs.gov/beneficiaries/impact-hr-1-and-federal-changes-medicaid#:~:text=Six%2Dmonth%20Eligibility%20Redetermination%20for%20Certain%20BeneficiariesChildren age 18 or younger;People with disabilities, receiving SSI or SSDI;Adults age 65 or older;People who are pregnant or eligible for postpartum coverage (12 months after a pregnancy ends);Former foster care children age 25 or younger;Parent or caregiver of a child under age 14;Parent or caregiver of people with disabilities;Veterans with a total disability;American Indian/Alaska Natives;People who are medically frail;People enrolled in a substance use disorder treatment program;People who are incarcerated or people who have been released from incarceration in last 90 days;People who qualify for Medicarehttps://medicaid.ncdhhs.gov/beneficiaries/impact-hr-1-and-federal-changes-medicaid#:~:text=Who%20is%20exempt%20from%20the%20community%20engagement/work%20requirement%3FNohttps://medicaid.ncdhhs.gov/beneficiaries/impact-hr-1-and-federal-changes-medicaid#Nohttps://medicaid.ncdhhs.gov/beneficiaries/impact-hr-1-and-federal-changes-medicaid#Nohttps://medicaid.ncdhhs.gov/beneficiaries/impact-hr-1-and-federal-changes-medicaid#Nohttps://medicaid.ncdhhs.gov/beneficiaries/impact-hr-1-and-federal-changes-medicaid#TBDhttps://medicaid.ncdhhs.gov/beneficiaries/impact-hr-1-and-federal-changes-medicaid#:~:text=*%20Criteria%20still%20to%20be%20determinedTBDhttps://medicaid.ncdhhs.gov/beneficiaries/impact-hr-1-and-federal-changes-medicaid#:~:text=*%20Criteria%20still%20to%20be%20determined4/20/2026State Plan Amendment
NORTH DAKOTAExpansion onlyhttps://www.hhs.nd.gov/stayenrolled#:~:text=Starting%20Jan.%201%2C%202027%2C%20Medicaid%20Expansion%20enrollees%20will%20complete%20a%20redetermination%20every%20six%20months.%20Tribal%20members%20are%20excluded%20from%20these%20requirements%20and%20will%20still%20have%20an%20annual%20redetermination.%C2%A080 hours per month of work or participation in an approved activity, including employment, community service, participation in a work program, enrollment in an education program at least half-time, or a combination of these activities. Or someone can work at least 80 hours per month, earning at least the federal minimum wage. Seasonal workers may average their income over the past six months.https://www.hhs.nd.gov/stayenrolled#:~:text=To%20meet%20Medicaid%E2%80%99s%20work%20requirement%2C%20you%20must%20either%20work%20or%20participate%20in%20an%20approved%20activity%3A1 monthhttps://www.hhs.nd.gov/stayenrolled#:~:text=Starting%20Jan.%201%2C%202027%2C%20Medicaid%20Expansion%20enrollees%20will%20complete%20a%20redetermination%20every%20six%20months.%20Tribal%20members%20are%20excluded%20from%20these%20requirements%20and%20will%20still%20have%20an%20annual%20redetermination.%C2%A012/31/2026https://www.hhs.nd.gov/stayenrolled#:~:text=Starting%20Dec.%2031%2C%202026%2C%20Medicaid%20Expansion%20adults%20must%20work%2C%20volunteer%20or%20attend%20educational%20activities%2080%20hours/month.%C2%A0Every 6 months, except for tribal members, who will recertify annuallyhttps://www.hhs.nd.gov/stayenrolled#:~:text=Starting%20Jan.%201%2C%202027%2C%20Medicaid%20Expansion%20enrollees%20will%20complete%20a%20redetermination%20every%20six%20months.%20Tribal%20members%20are%20excluded%20from%20these%20requirements%20and%20will%20still%20have%20an%20annual%20redetermination.%C2%A0People already meeting work requirements under TANF or SNAP;Pregnant women;Members with postpartum coverage;Medically frail members;Members who are participating in a substance use disorder or alcohol use disorder treatment program;Parents/caregivers of children 13 and under or to someone with a disability;Members who are incarcerated or were released from incarceration within the past 90 days;Current and former foster youth (under age 26);American Indians;Veterans with total rated disabilitieshttps://www.hhs.nd.gov/stayenrolled#:~:text=These%20work%20requirements%20do%20not%20apply%20to%20ND%20Medicaid%20Expansion%20members%20who%20are%3ATBDhttps://www.hhs.nd.gov/stayenrolled#:~:text=Starting%20Jan.%201%2C%202027%2C%20Medicaid%20Expansion%20enrollees%20will%20complete%20a%20redetermination%20every%20six%20months.%20Tribal%20members%20are%20excluded%20from%20these%20requirements%20and%20will%20still%20have%20an%20annual%20redetermination.%C2%A0TBDhttps://www.hhs.nd.gov/stayenrolled#:~:text=Starting%20Jan.%201%2C%202027%2C%20Medicaid%20Expansion%20enrollees%20will%20complete%20a%20redetermination%20every%20six%20months.%20Tribal%20members%20are%20excluded%20from%20these%20requirements%20and%20will%20still%20have%20an%20annual%20redetermination.%C2%A0TBDhttps://www.hhs.nd.gov/stayenrolled#:~:text=Starting%20Jan.%201%2C%202027%2C%20Medicaid%20Expansion%20enrollees%20will%20complete%20a%20redetermination%20every%20six%20months.%20Tribal%20members%20are%20excluded%20from%20these%20requirements%20and%20will%20still%20have%20an%20annual%20redetermination.%C2%A0TBDhttps://www.hhs.nd.gov/stayenrolled#:~:text=Starting%20Jan.%201%2C%202027%2C%20Medicaid%20Expansion%20enrollees%20will%20complete%20a%20redetermination%20every%20six%20months.%20Tribal%20members%20are%20excluded%20from%20these%20requirements%20and%20will%20still%20have%20an%20annual%20redetermination.%C2%A0TBDhttps://www.hhs.nd.gov/stayenrolled#:~:text=Starting%20Jan.%201%2C%202027%2C%20Medicaid%20Expansion%20enrollees%20will%20complete%20a%20redetermination%20every%20six%20months.%20Tribal%20members%20are%20excluded%20from%20these%20requirements%20and%20will%20still%20have%20an%20annual%20redetermination.%C2%A0TBDhttps://www.hhs.nd.gov/stayenrolled#:~:text=Starting%20Jan.%201%2C%202027%2C%20Medicaid%20Expansion%20enrollees%20will%20complete%20a%20redetermination%20every%20six%20months.%20Tribal%20members%20are%20excluded%20from%20these%20requirements%20and%20will%20still%20have%20an%20annual%20redetermination.%C2%A04/27/2026State Plan Amendment
OHIOExpansion onlyhttps://medicaid.ohio.gov/resources-for-providers/special-programs-and-initiatives/group-viiiEmployment: Works a minimum of 80 hours during the monthCommunity Service: Completes at least 80 hours of community service in the monthWork Program Participation: Participates in a recognized work program for no less than 80 hours within the monthEducation: Maintains enrollment in an educational program at least half-time during the monthCombination of Activities: Engages in any combination of the above activities—employment, community service, work program participation, or education—for a total of at least 80 hours in the monthIncome Threshold: Has monthly income that meets or exceeds the amount derived by multiplying the federal minimum wage rate by 80 hoursSeasonal Worker Provision: is a seasonal worker who maintains an average monthly income over the preceding 6 months that equals or surpasses the federal minimum wage multiplied by 80 hourshttps://medicaid.ohio.gov/resources-for-providers/special-programs-and-initiatives/group-viii#:~:text=To%20be%20considered%20in%20compliance%20with%20the%20Work%20and%20Community%20Engagement%20Requirement%20for%20a%20given%20month%2C%20the%C2%A0%20individual%20must%20meet%20at%20least%20one%20of%20the%20following%20conditions%3A1 monthhttps://dam.assets.ohio.gov/image/upload/medicaid.ohio.gov/About%20Us/Boards%20and%20Committees/MAC/Work_Requirements_February_2026.pdf#:~:text=In%20July%202025%2C%20the%20Congress,identical%20to%20Ohio's%20proposed%20waiver.1/1/2027https://dam.assets.ohio.gov/image/upload/medicaid.ohio.gov/About%20Us/Boards%20and%20Committees/MAC/Work_Requirements_February_2026.pdf#:~:text=In%20July%202025%2C%20the%20Congress,identical%20to%20Ohio's%20proposed%20waiver.Every 6 monthshttps://dam.assets.ohio.gov/image/upload/medicaid.ohio.gov/About%20Us/Boards%20and%20Committees/MAC/Work_Requirements_February_2026.pdf#:~:text=In%20July%202025%2C%20the%20Congress,identical%20to%20Ohio's%20proposed%20waiver.Under the age 19 or over age 64;Pregnant or entitled to postpartum medical assistance;Parent, guardian, caretaker relative, or family caregiver of a dependent child 13 years of age and under or a disabled individual;Participating in a substance use disorder (SUD) treatment program;Incarcerated or recently released from incarceration;Veteran with a disability rated as total;Entitled to or enrolled for benefits under Medicare Part A or enrolled for benefits under Medicare Part B;Current or former foster child under the age of 26;Native American, Urban Native American, or California Native American;Participating in TANF and meeting any work requirements imposed as part of that program;Member of a household that receives SNAP benefits and is not exempt from a work requirement under such act;Medically frailhttps://medicaid.ohio.gov/resources-for-providers/special-programs-and-initiatives/group-viii#:~:text=People%20in%20Group%20VIII%20may%20be%20exempt%20from%20the%20Work%20and%20Community%20Engagement%20Requirement%20if%20they%20meet%20one%20of%20the%20following%20criteria%3ANohttps://medicaid.ohio.gov/resources-for-providers/special-programs-and-initiatives/group-viiiNohttps://medicaid.ohio.gov/resources-for-providers/special-programs-and-initiatives/group-viiiNohttps://medicaid.ohio.gov/resources-for-providers/special-programs-and-initiatives/group-viiiNohttps://medicaid.ohio.gov/resources-for-providers/special-programs-and-initiatives/group-viiiIncludes individuals: who are blind or disabled (as defined by SSA); with a substance use disorder; with a disabling mental disorder; with a physical, intellectual, or developmental disability that significantly impairs ability to perform daily living activities; with a serious or complex medical conditionhttps://medicaid.ohio.gov/resources-for-providers/special-programs-and-initiatives/group-viii#:~:text=Medically%20frail%2C%20including%20individuals%3ADisability award letter, doctor's statement, claims data, system TBDhttps://medicaid.ohio.gov/resources-for-providers/special-programs-and-initiatives/group-viii#:~:text=Medically%20frail%2C%20including%20individuals%3A2/23/2026Section 1115 Waiver
OKLAHOMAExpansion onlyhttps://oklahoma.gov/ohca/individuals/mysoonercare/apply-for-soonercare-online/work-requirements-screener.htmlTBD https://www.oklahoma.gov/content/dam/ok/en/okhca/soonerselect/docs/providers/GKFF%20Fall%20Forum%20FAQ.pdf1 monthhttps://www.oklahoma.gov/content/dam/ok/en/okhca/soonerselect/docs/providers/GKFF%20Fall%20Forum%20FAQ.pdf1/1/2027https://www.oklahoma.gov/content/dam/ok/en/okhca/soonerselect/docs/providers/GKFF%20Fall%20Forum%20FAQ.pdfEvery 6 monthshttps://www.oklahoma.gov/content/dam/ok/en/okhca/soonerselect/docs/providers/GKFF%20Fall%20Forum%20FAQ.pdfFinal determination TBDhttps://www.oklahoma.gov/content/dam/ok/en/okhca/soonerselect/docs/providers/GKFF%20Fall%20Forum%20FAQ.pdfTBDhttps://oklahoma.gov/ohca/individuals/mysoonercare/apply-for-soonercare-online/work-requirements-screener.htmlNohttps://oklahoma.gov/ohca/individuals/mysoonercare/apply-for-soonercare-online/work-requirements-screener.htmlYeshttps://oklahoma.gov/ohca/individuals/mysoonercare/apply-for-soonercare-online/work-requirements-screener.htmlYeshttps://oklahoma.gov/ohca/individuals/mysoonercare/apply-for-soonercare-online/work-requirements-screener.htmlTBDhttps://oklahoma.gov/ohca/individuals/mysoonercare/apply-for-soonercare-online/work-requirements-screener.htmlClaims data, self-attestationhttps://oklahoma.gov/ohca/individuals/mysoonercare/apply-for-soonercare-online/work-requirements-screener.html11/19/2025State Plan Amendment
OREGONExpansion onlyhttps://www.oregon.gov/oha/hsd/ohp/pages/federal-changes.aspxQualifying work or activity, which can be: more than $580 per month of household income; being in school at least half-time; a combination of work, volunteer, education, or training programs that add up to 80 hours per monthhttps://www.oregon.gov/oha/hsd/ohp/pages/federal-changes.aspx1 monthhttps://www.oregon.gov/oha/hsd/ohp/pages/federal-changes.aspx1/1/2027https://www.oregon.gov/oha/hsd/ohp/pages/federal-changes.aspxEvery 6 months, except for American Indians and Alaska Nativeshttps://www.oregon.gov/oha/hsd/ohp/pages/federal-changes.aspxMain caretakers of children under age 14, or someone with a disabling health condition of any age; people who have a disability;People with certain medical conditions;People who have chronic substance use disorders or are currently in treatment;People who are American Indian/Alaska Native;During pregnancy, and for one year after;People who were incarcerated in the last three monthshttps://www.oregon.gov/oha/hsd/ohp/pages/federal-changes.aspxNohttps://www.oregon.gov/oha/hsd/ohp/pages/federal-changes.aspxNohttps://www.oregon.gov/oha/hsd/ohp/pages/federal-changes.aspxNohttps://www.oregon.gov/oha/hsd/ohp/pages/federal-changes.aspxNohttps://www.oregon.gov/oha/hsd/ohp/pages/federal-changes.aspxTBDhttps://www.oregon.gov/oha/hsd/ohp/pages/federal-changes.aspxClaims data, self-attestationhttps://www.oregon.gov/oha/hsd/ohp/pages/federal-changes.aspx4/13/2026State Plan Amendment
PENNSYLVANIAExpansion onlyhttps://www.pa.gov/agencies/dhs/resources/medicaid/medicaid-changes#:~:text=Medicaid%20recipients%20need%20to%20meet%20the%20work%20and%20community%20engagement%20requirements%20if%20they%3AFor at least 80 hours per month, complete some combination of these options: work, volunteer or do community service, participate in a work training program, or go to school at least part time. You may also meet the requirement based on monthly income if you make at least $580 per month or if you do seasonal work.https://www.pa.gov/agencies/dhs/resources/medicaid/medicaid-changes#whodoesnotneed:~:text=To%20meet%20the%20work%20and%20community%20engagement%20requirement%2C%20you%20must%20do%20one%20or%20a%20combo%20of%20these%20options%20for%20at%20least%2080%20hours%20a%20month%3A1 monthhttps://www.pa.gov/agencies/dhs/resources/medicaid/medicaid-changes#:~:text=Medicaid%20recipients%20need%20to%20meet%20the%20work%20and%20community%20engagement%20requirements%20if%20they%3A1/1/27 for new applicants; for current members, it will be reviewed at renewal and must be reported to PA DHS.https://www.pa.gov/agencies/dhs/resources/medicaid/medicaid-changes#whodoesnotneed:~:text=Starting%20January%201,in%20September%202027.Every 6 months, beginning at application or 2027 renewal datehttps://www.pa.gov/agencies/dhs/resources/medicaid/medicaid-changes#whodoesnotneed:~:text=For%20example%2C%20if%20you%20apply%20for%20Medicaid%20on%20or%20after%20January%201%2C%202027%2C%20you%20will%20have%20to%20renew%20your%20Medicaid%20in%20six%20months.%20If%20your%20coverage%20begins%20in%20January%202027%2C%20you%20will%20complete%20a%20Medicaid%20renewal%20in%20July%202027.%C2%A0Parents/caretakers of a child under 14;Parents/caretakers of an individual with a disability;Pregnant or postpartum (for up to one year postpartum);Currently or formerly in foster care aged 18 or older;Native American/American Indian or an Alaska Native;Veteran with a VA-determined total disability;In treatment for alcohol or substance use disorder;Considered medically frail or have special medical needs;Or incarcerated in the last 90 days; If you receive TANF and are meeting the TANF work requirement;If you receive SNAP benefits and are not exempt from SNAP work requirementshttps://www.pa.gov/agencies/dhs/resources/medicaid/medicaid-changes#:~:text=Medicaid%20recipients%20can%20be%20exempt%20from%20the%20work%20and%20community%20engagement%20requirements%20if%20they%20are/were%3ANohttps://www.pa.gov/agencies/dhs/resources/medicaid/medicaid-changes#:~:text=Medicaid%20recipients%20need%20to%20meet%20the%20work%20and%20community%20engagement%20requirements%20if%20they%3ANohttps://www.pa.gov/agencies/dhs/resources/medicaid/medicaid-changes#:~:text=Medicaid%20recipients%20need%20to%20meet%20the%20work%20and%20community%20engagement%20requirements%20if%20they%3ANohttps://www.pa.gov/agencies/dhs/resources/medicaid/medicaid-changes#:~:text=Medicaid%20recipients%20need%20to%20meet%20the%20work%20and%20community%20engagement%20requirements%20if%20they%3ANohttps://www.pa.gov/agencies/dhs/resources/medicaid/medicaid-changes#:~:text=Medicaid%20recipients%20need%20to%20meet%20the%20work%20and%20community%20engagement%20requirements%20if%20they%3ATBDhttps://www.pa.gov/agencies/dhs/resources/medicaid/medicaid-changes#:~:text=Medicaid%20recipients%20need%20to%20meet%20the%20work%20and%20community%20engagement%20requirements%20if%20they%3ATBDhttps://www.pa.gov/agencies/dhs/resources/medicaid/medicaid-changes#:~:text=Medicaid%20recipients%20need%20to%20meet%20the%20work%20and%20community%20engagement%20requirements%20if%20they%3A5/13/2026State Plan Amendment
RHODE ISLANDExpansion onlyhttps://staycovered.ri.gov/updates-news/medicaid-updates#:~:text=These%20changes%20will,U.S.%20citizens.Completing 80 hours of work, community service, or work program participation; being enrolled in an education program at least half-time (40 hours); having a monthly income of no less than $580 (the monthly income equivalent to at least federal minimum wage for 80 hours); or for seasonal workers only, having an average monthly income over the preceding six months that is not less than $580https://staycovered.ri.gov/updates-news/medicaid-updates/community-engagement-requirements#:~:text=How%20can%20I%20meet%20the%20community%20engagement%20requirements%3F1 monthhttps://staycovered.ri.gov/updates-news/medicaid-updates#:~:text=These%20changes%20will,U.S.%20citizens.1/1/2027https://staycovered.ri.gov/updates-news/medicaid-updates/community-engagement-requirements#:~:text=Due%20to%20new%20federal%20laws%2C%C2%A0some%20Medicaid%20members%20will%C2%A0need%20to%20meet%20community%20engagement%20requirements%20starting%20January%201%2C%202027Every 6 monthshttps://staycovered.ri.gov/updates-news/medicaid-updates/6-month-renewals#:~:text=Beginning%20January%201%2C%202027%2C%20some%20Medicaid%20members%20will%20need%20to%20renew%20their%20coverage%C2%A0every%206%20months%C2%A0instead%20of%20once%20a%20year.%20This%20change%20comes%20from%20a%20new%20federal%20law%20and%20applies%20only%20to%20certain%20adults.%C2%A0Younger than 19 or older than 64;A parent or primary caregiver of a child younger than 14;A parent or guardian of a person of any age with a disability;Medically frail;Participating in a drug or alcohol treatment program; pregnant;Within 12 months post-partum;Native American; currently incarcerated;A former inmate of a public institution within the last three months;A former foster care child younger than 26;A veteran with a total disability rating; already compliant with TANF work requirements;Or receiving SNAP and not exempt from SNAP work requirementshttps://staycovered.ri.gov/updates-news/medicaid-updates/community-engagement-requirements#:~:text=Community%20engagement%20requirements%20may%20not%20apply%20to%20you%20if%20you%20are%3A%C2%A0Nohttps://staycovered.ri.gov/updates-news/medicaid-updates#:~:text=These%20changes%20will,U.S.%20citizens.Nohttps://staycovered.ri.gov/updates-news/medicaid-updates#:~:text=These%20changes%20will,U.S.%20citizens.Nohttps://staycovered.ri.gov/updates-news/medicaid-updates#:~:text=These%20changes%20will,U.S.%20citizens.Nohttps://staycovered.ri.gov/updates-news/medicaid-updates#:~:text=These%20changes%20will,U.S.%20citizens.TBDhttps://staycovered.ri.gov/updates-news/medicaid-updates#:~:text=These%20changes%20will,U.S.%20citizens.Claims data, self-attestationhttps://staycovered.ri.gov/updates-news/medicaid-updates#:~:text=These%20changes%20will,U.S.%20citizens.5/21/2026State Plan Amendment
SOUTH CAROLINADoes not have Medicaid expansionhttps://triagecancer.org/medicaid-expansion/n/ahttps://apply.scdhhs.gov/CitizenPortal/n/ahttps://apply.scdhhs.gov/CitizenPortal/n/ahttps://apply.scdhhs.gov/CitizenPortal/n/ahttps://apply.scdhhs.gov/CitizenPortal/n/ahttps://apply.scdhhs.gov/CitizenPortal/n/ahttps://apply.scdhhs.gov/CitizenPortal/n/ahttps://apply.scdhhs.gov/CitizenPortal/n/ahttps://apply.scdhhs.gov/CitizenPortal/n/ahttps://apply.scdhhs.gov/CitizenPortal/n/ahttps://apply.scdhhs.gov/CitizenPortal/n/ahttps://apply.scdhhs.gov/CitizenPortal/
SOUTH DAKOTAExpansion onlyhttps://dss.sd.gov/medicaid/HR1.aspx#:~:text=The%20following%20laws%20apply%20to%20the%20Expansion%20coverage%20group%20only.%20The%20Expansion%20group%20primarily%20includes%20able%2Dbodied%2C%20working%2Dage%20adults%20(ages%2019%2D64)%20who%20qualify%20for%20Medicaid%20coverage%20based%20on%20an%20income%20threshold%20and%20who%20don%27t%20otherwise%20qualify%20for%20Medicaid%20based%20on%20disability%2C%20age%2C%20or%20other%20factors.Complete 80 hours a month of work, community service, work program participation, or a combination of these; have a monthly income equal to 80 hours of work at the federal minimum wage (seasonal workers are averaged over 6 months); be enrolled in school at least half timehttps://dss.sd.gov/medicaid/HR1.aspx#:~:text=Effective%20January%201%2C%202027%3A%20Persons%20must%20meet%20one%20of%20the%20following%20qualifying%20activities%20to%20be%20enrolled%20in%20Medicaid%20Expansion%3A1 monthhttps://dss.sd.gov/medicaid/HR1.aspx#1/1/2027https://dss.sd.gov/medicaid/HR1.aspx#:~:text=Effective%20January%201%2C%202027%3A%20Persons%20must%20meet%20one%20of%20the%20following%20qualifying%20activities%20to%20be%20enrolled%20in%20Medicaid%20Expansion%3AEvery 6 months; American Indians and Alaska Natives are exempthttps://dss.sd.gov/medicaid/HR1.aspx#:~:text=Every%206%20months%20for%20Medicaid%20Expansion%20enrollees.American Indians and Alaska Natives;Meeting SNAP or TANF work requirements;Caring for a disabled person of any age or a dependent child aged 13 or younger;Eligible for pregnancy/postpartum Medicaid coverage;Disabled or meet certain medical requirements;Incarcerated currently or within 90 dayshttps://dss.sd.gov/medicaid/HR1.aspx#:~:text=Exemptions%20include%3A,within%2090%20days.Nohttps://dss.sd.gov/medicaid/HR1.aspx#Nohttps://dss.sd.gov/medicaid/HR1.aspx#Nohttps://dss.sd.gov/medicaid/HR1.aspx#Nohttps://dss.sd.gov/medicaid/HR1.aspx#TBDhttps://dss.sd.gov/medicaid/HR1.aspx#TBDhttps://dss.sd.gov/medicaid/HR1.aspx#10/23/2025State Plan Amendment
TENNESSEETennessee does not have Medicaid expansion, however, requirements apply to people receiving coverage due to waiver & who would be eligible for expansion if they lived in an expansion statehttps://www.tn.gov/cdd/engage-with-us/enews-archive/2025/july-2025.html#:~:text=Changes%20in%20the%20following%20areas%20are%20NOT%20expected%20to%20apply%20to%20TennCare%20or%20may%20only%20affect%20a%20few%20people%3ATBDhttps://www.tn.gov/tenncare/members-applicants/eligibility.htmlTBDhttps://www.tn.gov/tenncare/members-applicants/eligibility.htmlTBDhttps://www.tn.gov/tenncare/members-applicants/eligibility.htmlTBDhttps://www.tn.gov/tenncare/members-applicants/eligibility.htmlTBDhttps://www.tn.gov/tenncare/members-applicants/eligibility.htmlTBDhttps://www.tn.gov/tenncare/members-applicants/eligibility.htmlTBDhttps://www.tn.gov/tenncare/members-applicants/eligibility.htmlTBDhttps://www.tn.gov/tenncare/members-applicants/eligibility.htmlTBDhttps://www.tn.gov/tenncare/members-applicants/eligibility.htmlTBDhttps://www.tn.gov/tenncare/members-applicants/eligibility.htmlTBDhttps://www.tn.gov/tenncare/members-applicants/eligibility.html7/4/25Section 1115 Waiver
TEXASDoes not have Medicaid expansionhttps://triagecancer.org/medicaid-expansion/n/ahttps://www.hhs.texas.gov/services/health/medicaid-chipn/ahttps://www.hhs.texas.gov/services/health/medicaid-chipn/ahttps://www.hhs.texas.gov/services/health/medicaid-chipn/ahttps://www.hhs.texas.gov/services/health/medicaid-chipn/ahttps://www.hhs.texas.gov/services/health/medicaid-chipn/ahttps://www.hhs.texas.gov/services/health/medicaid-chipn/ahttps://www.hhs.texas.gov/services/health/medicaid-chipn/ahttps://www.hhs.texas.gov/services/health/medicaid-chipn/ahttps://www.hhs.texas.gov/services/health/medicaid-chipn/ahttps://www.hhs.texas.gov/services/health/medicaid-chipn/ahttps://www.hhs.texas.gov/services/health/medicaid-chip
UTAHExpansion onlyhttps://medicaid.utah.gov/obbba/80 hours a month of work, community service, and/or "work program"; enrolled in education at least half time; monthly income of minimum wage multiplied by 80 hours; seasonal workers with an average monthly income over 6 months of minimum wage multiplied by 80 hourshttps://medicaid-documents.dhhs.utah.gov/Documents/pdfs/OBBBA%20FAQ%20for%20partners_1.2026.pdf1 month lookback period for new applicants, renewals must be compliant 1 month out of the 6 month certification periodhttps://medicaid.utah.gov/obbba/1/1/27 for new applicants, requirements will apply to renewals at their next scheduled review datehttps://medicaid.utah.gov/obbba/Every 6 months; American Indians and Alaska Natives with verified tribal status will recertify every 12 monthshttps://medicaid.utah.gov/aian/#:~:text=Starting%20January%201,keep%20your%20MedicaidParent, guardian, or caretaker of dependent children under age 13 or disabled individuals;Pregnant or postpartum coverage;Foster youth or former foster youth;Medically frail;Participation in SUD program;Meeting SNAP or TANF work requirements;American Indians and Alaska Natives; disabled veterans;Incarcerated or 90 days post release;Entitled to Medicare Part A or enrolled in Medicare Part Bhttps://medicaid-documents.dhhs.utah.gov/Documents/pdfs/OBBBA%20FAQ%20for%20partners_1.2026.pdfNohttps://medicaid.utah.gov/obbba/Nohttps://medicaid.utah.gov/obbba/Nohttps://medicaid.utah.gov/obbba/Nohttps://medicaid.utah.gov/obbba/TBDhttps://medicaid.utah.gov/obbba/TBDhttps://medicaid.utah.gov/obbba/5/14/26Section 1115 Waiver
VERMONTExpansion onlyhttps://legislature.vermont.gov/Documents/2026/Workgroups/House%20Appropriations/Federal%20Funds/W~Ashley%20Berliner~HR.1%20Federal%20Reconciliation%20Bill%20Healthcare%20Overview~1-14-2026.pdfMonthly income of at least $580 (but not more than the Medicaid limit of 138% of the household FPL); or at least 80 hours spent on community service, education, work programs, jobs, or self-employment. Hours can be added up from all categories.https://dvha.vermont.gov/medicaidchanges#:~:text=Meeting%20work%20requirements,resources%20coming%20soon.New applicants will have to show they meet the work requirements during the month prior to their application, and current members will have to show they met work requirements in 1 of the months since they last applied or renewedhttps://dvha.vermont.gov/medicaidchanges#:~:text=New%20applicants%20%5BBeginning,applied%20or%20renewed1/1/27 for new applicants, 3/1/27 for renewals (beginning 3/1, current members who renew will have to show they met the work requirements in one of the months since they last applied or renewed)https://dvha.vermont.gov/medicaidchanges#:~:text=Vermonters%20will%20need,or%20renewed.Every 6 monthshttps://dvha.vermont.gov/medicaidchanges#:~:text=Medicaid%20eligibility%20reviewed%20every%20six%20months%20instead%20of%20once%20a%20year.Includes a parent, guardian, caretaker relative or family caregiver of a child aged 13 or youngerFamily caregiver responsible for caring for a person who has a disabilityHave significant health needs, such as a disabling mental health condition, substance use disorder, a serious or complex medical condition, or a disability that limits daily functioningVeteran with a service-connected disability that the VA has determined to be total and permanent American Indian or Alaska Native;Participating in drug or alcohol rehab or treatment; Living in a jail or prison now or in the past 3 months; Already comply with 3SquareVT or Reach Up work requirementshttps://dvha.vermont.gov/medicaid-work-requirements-screening-toolNohttps://dvha.vermont.gov/medicaidchanges#Nohttps://dvha.vermont.gov/medicaidchanges#Nohttps://dvha.vermont.gov/medicaidchanges#Nohttps://dvha.vermont.gov/medicaidchanges#TBDhttps://dvha.vermont.gov/medicaidchanges#Claims data, self-attestationhttps://dvha.vermont.gov/medicaidchanges#5/26/2026State Plan Amendment
VIRGINIAExpansion onlyhttps://www.dmas.virginia.gov/media/l2zjobju/hr1-dmas-website-05-15-2026.pdfWorking, participating in a work program, attending school, and/or volunteering for a combined total of 80 hours or more a month; being enrolled in school (including higher education and career or technical training) at least half time; have monthly income that is at least equal to the monthly income of someone who works 80 hours a month and is paid the federal minimum wage ($7.25/hour); if work is seasonal, the average income over 6 months must equal or be more than this thresholdhttps://dmas.virginia.gov/news-updates/new-federal-requirements/federal-work-requirements/#:~:text=The%20new%20requirements%20can%20be%20met%20by%3A%C2%A0Applicants must be in compliance for the previous month; for renewals, the period is between the most recent determination and the next scheduled redetermination (members must be compliant for at least 1 month during the renewal lookback period)https://www.dmas.virginia.gov/media/l2zjobju/hr1-dmas-website-05-15-2026.pdf1/1/27 for applications, and effective for renewals initiated on or after 1/1/27 (members with March 2027 renewal dates will have their renewal initiated in January 2027)https://www.dmas.virginia.gov/media/l2zjobju/hr1-dmas-website-05-15-2026.pdfEvery 6 months; American Indians and Alaska Natives will be renewed every 12 months, and pregnant members will be renewed at the end of their postpartum coverage periodhttps://www.dmas.virginia.gov/media/ep1dnnai/six-month-renewals-faqs-04-20-2026-english.pdfChildren who are 18 or younger and adults who are 65 or older ;People who are pregnant or within 12 months of the end of a pregnancy;People who left foster care at age 18 and are currently 25 or younger; Parents and caregivers of: a child age 13 and younger, or a person of any age with a disability;Members of federally recognized tribes; Veterans with a 100% disability rating; People who are incarcerated, or were released from incarceration in last 3 months; People who qualify for Medicare Part A or are enrolled in Medicare Part A or Part B; People with a disabling condition or who have special medical needs (also referred to as medically frail), such as: A disability as defined by the Social Security Administration, including Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI) recipients. Disabling behavioral health disorders Substance use disorders A physical, intellectual, or developmental disability that significantly impairs a person’s ability to perform 1 or more activity of daily living (such as bathing, dressing, feeding themselves or using the bathroom)https://dmas.virginia.gov/news-updates/new-federal-requirements/federal-work-requirements/#:~:text=Certain%20people%20will%20be%C2%A0exempt%C2%A0from%20the%20requirements%3A%C2%A0Nohttps://www.dmas.virginia.gov/media/l2zjobju/hr1-dmas-website-05-15-2026.pdfNohttps://www.dmas.virginia.gov/media/l2zjobju/hr1-dmas-website-05-15-2026.pdfNohttps://www.dmas.virginia.gov/media/l2zjobju/hr1-dmas-website-05-15-2026.pdfNohttps://www.dmas.virginia.gov/media/l2zjobju/hr1-dmas-website-05-15-2026.pdfPeople with a disabling condition or who have special medical needs such as: a disability as defined by the Social Security Administration, including SSI and SSDI recipients; disabling behavioral health disorders; substance use disorders; a physical, intellectual, or developmental disability that significantly impairs a person's ability to perform 1 or more activity of daily living (such as bathing, dressing, feeding themselves, or using the bathroom)https://www.dmas.virginia.gov/news-updates/new-federal-requirements/federal-work-requirements/#:~:text=People%20with%20a%20disabling%20condition%20or%20who%20have%20special%20medical%20needs%20(also%20referred%20to%20as%20medically%20frail)%2C%20such%20as%3A%20%C2%A0%C2%A0TBDhttps://dmas.virginia.gov/news-updates/new-federal-requirements/federal-work-requirements/5/15/2026State Plan Amendment
WASHINGTONExpansion onlyhttps://www.hca.wa.gov/assets/program/medicaid-in-washington-state.pdfWork requirements are met when an individual meets one of the following: has at least $580 in average monthly income; enrolls in an educational program at least half-time; participates in a work program at least 80 hours per month; completes at least 80 hours of community service; has a combination of work, community service, work program, or educational program totaling at least 80 hours per monthhttps://www.hca.wa.gov/assets/free-or-low-cost/hr1-impacts-webinar-series-1.pdf1 month for new applicants; for renewals, must meet the work requirement (or exemption) in 1 month of their 6-month certification periodhttps://www.hca.wa.gov/assets/program/hr1-frequently-asked-questions.pdf1/1/2027, but will not be considered towards eligibility until renewal date for existing members.https://www.hca.wa.gov/assets/program/impacts-hr1-ah-eligibility-summary.pdfEvery 6 monthshttps://www.hca.wa.gov/assets/program/hr1-frequently-asked-questions.pdfPregnant and postpartum;Parents, guardians, caregivers;Medically frail and individuals with disabilities or serious health conditions;Former foster care youth;Veterans with 100% total disability;American Indians/Alaska Natives and certain Tribal populations;Individuals who already meet other applicable program work rules (food/cash assistance);Individuals in qualifying treatment programs (drug or alcohol);Incarcerated;Medicare-entitledhttps://www.hca.wa.gov/assets/program/impacts-hr1-ah-eligibility-summary.pdfNohttps://www.hca.wa.gov/assets/program/hr1-frequently-asked-questions.pdfNohttps://www.hca.wa.gov/assets/program/hr1-frequently-asked-questions.pdfNohttps://www.hca.wa.gov/assets/program/hr1-frequently-asked-questions.pdfNohttps://www.hca.wa.gov/assets/program/hr1-frequently-asked-questions.pdfTBDhttps://www.hca.wa.gov/free-or-low-cost-health-care/i-need-medical-dental-or-vision-care/eligibility-overviewSelf-verification will be accepted and HCA will attempt to verify using existing data sources.https://www.hca.wa.gov/assets/program/hr1-frequently-asked-questions.pdf4/14/2026State Plan Amendment
WEST VIRGINIAExpansion onlyhttps://wvmedicaidhelp.org/faqs/#:~:text=Who%20must%20meet%20the%20Community%20Engagement%20requirements%3F80 hours per month of working, job training programs, volunteering, or going to school or an apprenticeship, or a combination of these. Earning $580 per month or seasonal work where income averages out to $580 per month also count. Volunteering counts if it is an approved volunteer activity.https://wvmedicaidhelp.org/faqs/#:~:text=People%20must%20do,volunteer%20activity.%3ETBDhttps://wvmedicaidhelp.org/faqs/1/1/27, but new applicants may have to meet the requirements in December 2026 if they apply in January 2027. For existing members, new requirements will not apply until regularly scheduled renewal in 2027, starting with those in March 2027.https://wvmedicaidhelp.org/faqs/#:~:text=The%20start%20date,in%20March%202027.TBDhttps://wvmedicaidhelp.org/faqs/Those who are: Under 26 and left foster care at age 18, up to age 21;In a Native American tribe; caring for young children or someone with a disability;Veterans with total disability;Medically frail;In SNAP/TANF work programs;In treatment for substance use;In jail or recently released;Pregnant or within 12 months after pregnancyhttps://wvmedicaidhelp.org/faqs/#:~:text=Who%20does%20NOT%20have%20to%20meet%20the%20requirements%3FTBDhttps://wvmedicaidhelp.org/faqs/TBDhttps://wvmedicaidhelp.org/faqs/TBDhttps://wvmedicaidhelp.org/faqs/TBDhttps://wvmedicaidhelp.org/faqs/TBDhttps://wvmedicaidhelp.org/faqs/Claims data, self-attestationhttps://wvmedicaidhelp.org/faqs/5/20/2026State Plan Amendment
WISCONSINWisconsin does not have Medicaid expansion, however, requirements apply to people receiving coverage due to waiver & who would be eligible for expansion if they lived in an expansion statehttps://www.dhs.wisconsin.gov/news/releases/fed-reconciliation-082825.pdf80 hours per month of work, training, or volunteering.https://www.dhs.wisconsin.gov/forwardhealth/partners/federal-changes.htm#:~:text=A%20new%20Medicaid%20work%20requirement%20will%20mean%20these%20adults%20will%20have%20to%20report%20at%20least%2080%20hours%20per%20month%20of%20work%2C%20training%2C%20or%20volunteering.1 monthhttps://www.dhs.wisconsin.gov/news/releases/fed-reconciliation-082825.pdf1/1/2027https://www.dhs.wisconsin.gov/forwardhealth/partners/federal-changes.htm#:~:text=Many%20Wisconsinites%20work%20in%20jobs%20that%20don%E2%80%99t%20offer%20health%20insurance%2C%20and%20many%20others%20can%E2%80%99t%20work%20because%20of%20a%20health%20condition.%20A%20new%20Medicaid%20work%20requirement%20will%20mean%20these%20adults%20will%20have%20to%20report%20at%20least%2080%20hours%20per%20month%20of%20work%2C%20training%2C%20or%20volunteering.Every 6 monthshttps://content.govdelivery.com/accounts/WIGOV/bulletins/3efe70f#:~:text=Requiring%20six%2Dmonth%20eligibility%20redeterminations%20for%20the%20adult%20population%20covered%20under%20expansion.TBDhttps://www.dhs.wisconsin.gov/news/releases/fed-reconciliation-082825.pdfNohttps://www.dhs.wisconsin.gov/news/releases/fed-reconciliation-082825.pdfNohttps://www.dhs.wisconsin.gov/news/releases/fed-reconciliation-082825.pdfNohttps://www.dhs.wisconsin.gov/news/releases/fed-reconciliation-082825.pdfNohttps://www.dhs.wisconsin.gov/news/releases/fed-reconciliation-082825.pdfTBDhttps://www.dhs.wisconsin.gov/news/releases/fed-reconciliation-082825.pdfClaims data, self-attestationhttps://www.dhs.wisconsin.gov/news/releases/fed-reconciliation-082825.pdf5/15/2026Section 1115 BadgerCare Waiver
WYOMINGDoes not have Medicaid expansionhttps://triagecancer.org/medicaid-expansion/n/ahttps://health.wyo.gov/healthcarefin/medicaid/programs-and-eligibility/n/ahttps://health.wyo.gov/healthcarefin/medicaid/programs-and-eligibility/n/ahttps://health.wyo.gov/healthcarefin/medicaid/programs-and-eligibility/n/ahttps://health.wyo.gov/healthcarefin/medicaid/programs-and-eligibility/n/ahttps://health.wyo.gov/healthcarefin/medicaid/programs-and-eligibility/n/ahttps://health.wyo.gov/healthcarefin/medicaid/programs-and-eligibility/n/ahttps://health.wyo.gov/healthcarefin/medicaid/programs-and-eligibility/n/ahttps://health.wyo.gov/healthcarefin/medicaid/programs-and-eligibility/n/ahttps://health.wyo.gov/healthcarefin/medicaid/programs-and-eligibility/n/ahttps://health.wyo.gov/healthcarefin/medicaid/programs-and-eligibility/n/ahttps://health.wyo.gov/healthcarefin/medicaid/programs-and-eligibility/
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