Medicaid work requirements by state
Many adults ages 19 to 64 who get Medicaid through the expansion group may need to show 80 hours a month of work, school, job training, or community service, or enough income. Most states by January 2027; some sooner or later; check yours. Pick your state to see the details we found and links to your state Medicaid office.
States that expanded Medicaid (41)
- Alaska
Alaska Division of Public Assistance
Start: January 1, 2027
Last checked September 2026
- Arizona
AHCCCS (Arizona Health Care Cost Containment System)
Start: January 1, 2027
Last checked September 2026
- Arkansas
Arkansas DHS / ARHOME
Start: Soft launch July 1, 2026; no CE penalties until January 1, 2027
Last checked September 2026
- California
DHCS / Medi-Cal
Start: January 1, 2027
Last checked September 2026
- Colorado
Colorado HCPF / Health First Colorado
Start: January 1, 2027
Last checked September 2026
- Connecticut
Connecticut DSS / HUSKY Health
Start: January 1, 2027
Last checked September 2026
- Delaware
Delaware DMMA (ENGAGE)
Start: January 1, 2027
Last checked September 2026
- District of Columbia
DC Department of Health Care Finance (DHCF)
Start: January 1, 2027
Last checked September 2026
- Hawaii
Hawaii Med-QUEST Division
Start: January 1, 2027
Last checked September 2026
- Idaho
Idaho Department of Health and Welfare (DHW)
Start: January 1, 2027
Last checked September 2026
- Illinois
Illinois HFS (Healthcare and Family Services)
Start: January 1, 2027
Last checked September 2026
- Indiana
Indiana FSSA / Healthy Indiana Plan (HIP)
Start: January 1, 2027
Last checked September 2026
- Iowa
Iowa HHS / Iowa Health and Wellness Plan (IHAWP)
Start: December 1, 2026 (new applications); existing members at Feb 2027+ renewals
Last checked September 2026
- Kentucky
Kentucky Medicaid / Kynect
Start: January 1, 2027
Last checked September 2026
- Louisiana
Louisiana Medicaid / LDH
Start: January 1, 2027
Last checked September 2026
- Maine
MaineCare / Office for Family Independence (OFI)
Start: January 1, 2027
Last checked September 2026
- Maryland
Maryland Medicaid / Maryland Health Connection
Start: January 1, 2027
Last checked September 2026
- Massachusetts
MassHealth (Massachusetts Medicaid)
Start: January 1, 2027
Last checked September 2026
- Michigan
Michigan DHHS / Healthy Michigan Plan (HMP)
Start: January 1, 2027 (HMP renewals on or after March 1, 2027)
Last checked September 2026
- Minnesota
Minnesota DHS / Medical Assistance
Start: January 1, 2027
Last checked September 2026
- Missouri
Missouri DSS / Family Support Division (FSD)
Start: January 1, 2027
Last checked September 2026
- Montana
Montana DPHHS
Start: July 1, 2026 (hold-harmless Jul–Sep; enforcement began Oct 2026)
Last checked September 2026
- Nebraska
Nebraska DHHS / Nebraska Medicaid
Start: May 1, 2026 (live; phased renewal checks)
Last checked September 2026
- Nevada
Nevada Medicaid (DWSS)
Start: January 1, 2027
Last checked September 2026
- New Hampshire
NH DHHS / Granite Advantage Health Care Program
Start: January 1, 2027
Last checked September 2026
- New Jersey
NJ FamilyCare / DMAHS
Start: January 1, 2027
Last checked September 2026
- New Mexico
New Mexico Health Care Authority (HCA)
Start: January 1, 2027
Last checked September 2026
- New York
NY State of Health / New York Medicaid
Start: January 1, 2027
Last checked September 2026
- North Carolina
NC Medicaid / NCDHHS
Start: January 1, 2027
Last checked September 2026
- North Dakota
North Dakota HHS
Start: January 1, 2027
Last checked September 2026
- Ohio
Ohio Department of Medicaid (ODM)
Start: January 1, 2027
Last checked September 2026
- Oklahoma
OHCA / SoonerCare
Start: January 1, 2027
Last checked September 2026
- Oregon
Oregon Health Authority (OHA) / Oregon Health Plan
Start: January 1, 2027
Last checked September 2026
- Pennsylvania
Pennsylvania DHS / Medical Assistance
Start: January 1, 2027
Last checked September 2026
- Rhode Island
Rhode Island EOHHS / HealthyRhode
Start: 2027
Last checked September 2026
- South Dakota
South Dakota DSS
Start: January 1, 2027
Last checked September 2026
- Utah
Utah Medicaid (DHHS)
Start: January 1, 2027
Last checked September 2026
- Vermont
Vermont DVHA (Green Mountain Care)
Start: January 1, 2027 (applicants); current members at 2027 renewals
Last checked September 2026
- Virginia
Virginia DMAS / Cardinal Care
Start: January 1, 2027
Last checked September 2026
- Washington
Washington HCA / Apple Health
Start: January 1, 2027
Last checked September 2026
- West Virginia
WV Department of Human Services (DoHS) / Medicaid
Start: January 1, 2027 (applicants); members from March 2027 renewals
Last checked September 2026
States that have not expanded Medicaid (10)
The federal rule mainly applies to expansion adults, so most members in these states are likely not affected. Some special programs may be.
- Alabama
Alabama Medicaid Agency
Mainly for expansion adults; most members likely not affected
Last checked September 2026
- Florida
Florida AHCA / DCF MyACCESS
Mainly for expansion adults; most members likely not affected
Last checked September 2026
- Georgia
Georgia Pathways to Coverage
Start: January 1, 2027 (at 2027 renewal for current Pathways members)
Last checked September 2026
- Kansas
KanCare / KDHE
Mainly for expansion adults; most members likely not affected
Last checked September 2026
- Mississippi
Mississippi Division of Medicaid
Mainly for expansion adults; most members likely not affected
Last checked September 2026
- South Carolina
SC Department of Health and Human Services (SCDHHS)
Mainly for expansion adults; most members likely not affected
Last checked September 2026
- Tennessee
TennCare (Tennessee Medicaid)
Start: January 1, 2027
Last checked September 2026
- Texas
Texas HHSC / Medicaid
Mainly for expansion adults; most members likely not affected
Last checked September 2026
- Wisconsin
Wisconsin DHS / BadgerCare Plus
Start: Applicants January 1, 2027; renewals from March 2027
Last checked September 2026
- Wyoming
Wyoming Medicaid (WYDOH)
Mainly for expansion adults; most members likely not affected
Last checked September 2026
Log80 helps you keep organized proof.
Log your hours and make a monthly report you can share with your state Medicaid office. Free.
Log80 is not a government service and is not Medicaid. This page is not legal advice. Your state Medicaid office decides who must meet the rule and what proof it accepts.