Frequently Asked Questions

January 1, 2027, for affected new applicants and members renewing their coverage.

Most Medicaid members, including members who are pregnant, postpartum, parents of young children, or have a disability, do not have to follow requirements. Medicaid members are exempt if they are:

  • Under age 19 or age 65 or older
  • A former foster youth under age 26
  • Released from incarceration within the last three months
  • Blind or disabled
  • Medically frail (defined in the glossary)
  • A veteran with a total disability rating
  • Pregnant or in postpartum coverage
  • Participating in substance use disorder (SUD) or alcohol treatment or rehab
  • The parent or guardian of a child under age 14
  • The parent, guardian, caretaker relative, or family caregiver (defined in the glossary) of a person with a disability
  • Meeting Supplemental
  • Nutrition Assistance Program (SNAP) work requirements
  • Enrolled in or entitled to Medicare Part A or Part B
  • Native American or Alaska
  • Native eligible for Indian Health Service
Federal law requires some Medicaid members to take part in work requirements/community engagement requirements to keep their Medicaid coverage. These members will need to show Medicaid they are working, doing volunteer or community service, or participating in a work program for at least 80 hours, earning at least $580 each month, or participating in an educational program at least half- or part-time. A mix of approved work or community engagement activities can count, as long as the member completed 80 hours a month in the same month.

Your work may meet the requirements. Keep documentation in case it is requested.

You could lose coverage, even if you remain eligible. Respond to Medicaid notices promptly.