Medicaid Changes Are Coming in 2027
New requirements. New renewals.
We’re Here to Help.
What You Need to Know
Work or Volunteer Requirements
Some adults will need to complete 80 hours of work, school/job training, volunteer work or a combination.
Exceptions May Apply
Renew Every Six Months
Most adults ages 19-64 will need to renew their Medicaid coverage every six months.
We Can Help
WDOM can help you understand the changes, check if you qualify, and complete your paperwork.
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We help everyone—with and without disabilities—navigate Medicaid changes and live independently.
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Details About the Changes to Medicaid Coverage
Important: The federal rule is still being finalized, so details may change. Medicaid coverage is not changing immediately. Watch for official notices and keep your contact information current.
What may change?
Beginning in 2027, some adults with Medicaid may need to meet work, education, training, volunteering, community-service, or income requirements to keep coverage.
Key dates
- Notices to people who may be affected by work requirements are expected by September 30, 2026.
- Immigration-related eligibility changes may begin October 1, 2026 for some adults.
- Work requirements and six-month renewals may begin January 1, 2027 for some adults ages 19–64 when they apply for or renew coverage.
Who may be affected? Some adults ages 19 to 64 may be affected. Not everyone in this age range will be affected, and many people may qualify for an exception.
How can someone meet the monthly requirement? A person may meet it by earning at least $580 per month, completing at least 80 hours per month of approved activities, or combining income with approved activity hours.
Activities that may count: working, attending school at least half time, job training or a work program, volunteering, or community service.
Who may qualify for an exception? Exceptions may apply for people enrolled in Medicaid with a disability, people with physical or mental health conditions that make work difficult, some Medicare enrollees, pregnant or recently pregnant people, certain caregivers, certain foster-care youth, certain veterans, and others listed by NY State of Health.
Temporary exceptions may apply during hospitalization or nursing-facility stays, travel for serious medical care unavailable locally, federally declared emergencies or disasters, or residence in an area with very high unemployment.
Will proof be required? Possibly. People may need documentation showing they meet the requirement or qualify for an exception.
What should consumers do now?
- Update mailing address, phone number, and email with NY State of Health or the county Local Department of Social Services.
- Read every notice and respond by the deadline printed on the notice.
- Save records that may show work, school, training, volunteering, income, or an exception.
- Check official guidance from the NY State Dept. of Health, NY State of Health. Or the Dept. of Social Services for updates because details may change.