Louisiana Medicaid work requirement

Louisiana Medicaid expansion adults ages 19–64 who are not otherwise exempt. Louisiana uses ex-parte verification first, then requests forms if data is insufficient. Self-attestation for caregiver and medical-frailty exemptions will be accepted through 2027.

• 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

• 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.

LDH will first attempt ex-parte verification using available state data. If that is insufficient, it will ask you to complete a form. Caregiver and medical-frailty self-attestation is accepted in 2027. Keep documentation ready in case further verification is requested.

• Visit ldh.la.gov/medicaid/work-requirements for the official LDH work requirements page
• Keep your contact information current with Louisiana Medicaid (888-342-6207)
• Update your account at mymedicaid.la.gov
• Start tracking work, volunteer, education, or training hours each month now
• Report life changes (pregnancy, disability, household changes) to LDH promptly

• Louisiana Medicaid — Work Requirements
• myMedicaid LA Portal

Sources: Louisiana LDH (ldh.la.gov/medicaid/work-requirements). CMS IFC CMS-2454-IFC.

Last checked September 2026.