Keep Your Medicaid: How to Stay Covered

It’s important to take a few steps each year to keep your Medicaid coverage.

New federal rules are coming

 

We're here to help you understand based on your state and situation, what applies to you and what steps you need to take.

 

To keep your Medicaid coverage, you may need to renew your coverage, update your information, and/ or accommodate new work or activity requirements.

Renew every six months

 

Starting January 1, 2027, some members may need to renew their Medicaid eligibility every six months instead of once a year. Renewal means you must show you still qualify for Medicaid.

 

Who this may apply to:

  • Adults 19 -64 
  • Members who qualify for Medicaid based on income
  • Members who are not eligible for Medicare

 

Who this does not apply to:

  • Children 
  • Pregnant individuals 
  • People with disabilities
  • Adults over 65

 

If you are part of these groups, you will continue to renew every 12 months.

Update your Medicaid account information

 

Log in to your Medicaid account and check your mailing address, phone number and email.

New work and community activity requirements

 

Starting January 1, 2027, some adults may need to work or take part in 80 hours per month of approved activities to keep their Medicaid coverage. 

 

Some examples of approved activities include:

  • Working a job (full-time or part-time) 
  • Attending school 
  • Job training
  • Volunteering

You may combine these activities to reach 80 hours each month. Your state will share its specific rules before the changes begin.

 

Who this may apply to:

  • Adults 19 -64 
  • Members who qualify for Medicaid based on income

Approved activities may include work, job training, education, or volunteering. 

 

Who this does not apply to:

This does not apply to members who:

  • Have a health condition: Pregnant or recently had a baby, considered medically frail, a veteran with a disability 
  • Have a special situation: Under age 26 and were in foster care, in a substance use treatment program, recently incarcerated, experiencing short-term hardship
  • Are caring for someone: a child age 13 or younger, a family member with a disability
  • Meet other criteria: Already met similar requirements for programs like SNAP or TANF, an American Indian or Alaska Native, not able to complete the required monthly activities

How to prepare for these changes

 

Keep your contact information up to date

Log in to your state Medicaid account and check your mailing address, phone number and email. Update them if needed, so you don’t miss important updates.

 

Report changes in your income or household

Let your Medicaid agency know if your income or household changes. This may impact your coverage or whether new requirements apply to you.

Frequently asked questions

 

We are committed to helping you understand your healthcare by providing answers that will help you make informed decisions to improve your overall wellbeing.

You Can Feel Confident That You Have Health Insurance Options

You have other healthcare plan options if you lose Medicaid coverage. You can feel confident in making the transition and finding a plan that fits your needs and your budget.