Vermont Medicaid work requirement

Vermont Green Mountain Care (Medicaid expansion) adults ages 19–64 who are not otherwise exempt. New applicants face requirements starting January 1, 2027. Current members are first reviewed at their 2027 renewals. Self-attestation is accepted in 2027; documentation may be required beginning 2028.

• 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.

Vermont DVHA will verify compliance using available records where possible. Self-attestation is accepted in 2027; documentation may be required starting in 2028. Contact DVHA at 855-899-9600 if you have questions about your situation.

• Visit dvha.vermont.gov/medicaid-changes for the official Vermont DVHA Medicaid Changes page
• Keep your contact information current with Vermont DVHA (855-899-9600)
• Start tracking work, volunteer, education, or training hours each month now
• Current members: watch for 2027 renewal notices
• Self-attestation accepted in 2027 — gather documentation now in case it is required in 2028

• Vermont DVHA — Medicaid Changes
• Vermont Medicaid (DVHA)

Sources: Vermont DVHA (dvha.vermont.gov). CMS IFC CMS-2454-IFC. Self-attestation 2027; docs may be required 2028.

Last checked September 2026.