Arizona Medicaid work requirement
AHCCCS (Arizona Health Care Cost Containment System)
If you are 19 to 64 and get Medicaid in Arizona through the adult expansion group, you may need to show 80 hours a month of work, school, job training, or community service, or enough income. Some people are exempt. Most states by January 2027; some sooner or later; check yours.
- Start date
- January 1, 2027
- Last checked
- September 2026
Who it applies to
AHCCCS Medicaid expansion adults ages 19–64 who are not otherwise exempt. AHCCCS will contact you if community-engagement requirements apply to you — outreach began in summer 2026 and may include mail, phone, text, or online notices. Members should keep contact information current via Health-e-Arizona Plus.
What counts toward 80 hours
- Work 80+ hours/month (paid or unpaid, including self-employment or work for goods/services)
- Community service / volunteering at a public or non-profit organization — 80+ hours/month
- Participation in an approved job training or workforce program — 80+ hours/month
- Enrollment in an educational program at least half-time (high school, GED, community college, vocational, or four-year college)
- Any combination of the above totaling 80+ hours/month
- Income ≥ $580/month (federal minimum wage × 80 hours) — regardless of hours tracked; seasonal workers may average $580/month over the prior 6 months
Who may be exempt
- Pregnant or less than 12 months postpartum (regardless of pregnancy outcome)
- Primary caregiver of a child 13 years old or younger
- Primary caregiver of a disabled individual
- Medically frail or living with a disability that significantly limits ability to work
- American Indian / Alaska Native (AI/AN)
- Former foster youth who aged out of foster care
- Veteran with total disability rating (VA)
- Household receiving TANF where work rules already apply
- Household receiving SNAP where SNAP work rules already apply
- Enrolled in or recently completed a substance use disorder (SUD) treatment program
- Currently incarcerated or released from incarceration within the prior 3 months
Caring for a child 13 or younger, or for a person with a disability, is usually an exemption. Caregiving hours are not counted toward the 80 hours.
How Arizona checks
AHCCCS will provide step-by-step instructions on how to report and verify activities. Keep records of pay stubs, volunteer logs, enrollment confirmations, and medical documentation. Respond to any AHCCCS notices promptly.
What you can do now
- Visit azahcccs.gov/AHCCCS/Initiatives/HR1/ for the official AHCCCS H.R. 1 member page
- Keep your contact information current via Health-e-Arizona Plus (heaplus.az.gov)
- Start tracking work, volunteer, education, or training hours each month now
- Read any mail, text, or online notices from AHCCCS about community-engagement requirements
- Report life changes (pregnancy, disability, household changes) to AHCCCS promptly
Sources and links for Arizona
Sources: AHCCCS (azahcccs.gov/AHCCCS/Initiatives/HR1). CMS IFC CMS-2454-IFC.
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.