Protect Your Medicaid Coverage

Starting January 1, 2027, many adults ages 19–64 will need to show work or community engagement to keep Medicaid.

We’re here to help you understand the rules, check if you’re exempt, and complete the paperwork so you don’t lose coverage.

Who This Affects

Adults 19–64 on Medicaid (Not children, seniors 65+, or people on Medicare)

What You Need

80 hours a month of approved activity or at least $580 in monthly earnings

Approved activities include work, self-employment, school (half-time or more), job training, or volunteering.

You may already be exempt:

Pregnant or postpartum
Disabled or medically frail
Parent or caregiver of a child 13 or under
Caring for a person with a disability
Meeting SNAP work rules
American Indian or Alaska Native
Veteran with total disability rating
Former foster youth under 26
Recently released from incarceration

The Biggest Risk Is Paperwork

Most of our patients are already working or already exempt. The real challenge is making sure the right information gets to Medicaid on time. Missing a form or a deadline can put coverage at risk even if you still qualify.

How BCHS Helps

At every visit we can check your coverage status and flag upcoming renewal dates. Our team can help you fill out the verification form, explain what counts as approved activity, and connect you with local volunteer opportunities that satisfy the 80-hour requirement. We are partnering with community organizations so patients have clear ways to complete volunteer hours that count.

What You Can Do Now

Make sure Medicaid has your current address, phone number, and email.

Open every Medicaid letter.

Keep records about disability, medical needs, or caregiving responsibilities.

If you lose coverage and think it is wrong, ask for an appeal.