Who needs to show 80 hours for Medicaid work requirements
CMS says the 80-hour rule is for certain adults ages 19 to 64 who are not on Medicare and who are in the Medicaid adult group (or some similar groups). States must put this in place by January 1, 2027, unless they start sooner. You could qualify. Check your state's rules.
*You could qualify. Check your state's rules.
This page is not legal advice. Check with your state Medicaid agency. Your state decides who needs to meet the 80-hour rule and what proof it takes.
iPhone coming soonWho it may apply to
Adults 19 to 64 in the Medicaid adult coverage group. To date, CMS says 43 states and Washington, D.C. cover this group. U.S. territories are not under this law. In states that have not expanded this group, most members may not be affected. See your state page.
Who may not need to meet it
CMS lists groups that do not have to meet the rule, including people who are pregnant or postpartum, many caregivers of a child 13 or younger or a person with a disability, people who are disabled or medically frail, and others. See caregiving and who may not need 80 hours.
What you can do
If the rule may apply to you, start a record in the 80 hours tracker. Ask your state Medicaid agency if you are not sure.
Sources
We fetched and checked these official pages on 2026-10-19.
More guides
Log80 keeps your proof in one place.
Track your hours and make a monthly report to share with your state Medicaid office. It's free, in your browser or on Android.
Log80 is not a government service and is not Medicaid. This page is not legal advice. Your state Medicaid office decides who needs to meet the rule and what proof it takes.