2027 Medicaid Changes

What’s happening with Medicaid?

Due to a new federal law (the One Big Beautiful Bill Act), beginning on January 1, 2027, Medicaid will have work requirements that may affect you and your coverage. These requirements, also known as community engagement requirements, can be fulfilled by the following qualifying activities:

• Working at a job (employed or self-employed)
• Taking part in a work program or job training
• Volunteering or doing community service
• Attending school or an education program at least half-time
• A combination of any of these activities

For additional information on HIP work requirements, please visit myfssa.in.gov.

What you need to do

• Watch your mail: The Indiana Family and Social Services Administration (FSSA) will send you a notice about your work-requirement status. Read it carefully and respond by the date listed.
• Confirm your status and report to the state: You can report your hours or confirm an exemption through the FSSA Benefits Portal or by calling your Medicaid health plan.
• Turn in your documents to FSSA: If FSSA asks for proof—such as pay stubs, a letter from your employer, school enrollment, medical documentation, or proof that you care for a child—send it in as soon as possible, and before any deadline in your notice, so you do not have a gap in coverage.
• Do not wait: Because these changes take effect on January 1, 2027, it is important to work now to confirm your status and complete necessary requirements. January 2027 reporting and exemption verification covers October through December 2026.

2027 Medicaid work requirements by state

Beginning January 1, 2027 | Simple state comparison

✓ = qualifying month met (80 hours or exemption) ○ = another month in the eligibility period Indiana requires all 3 prior months; Ohio and Michigan require at least 1 qualifying month.

Operational note: States first use available data to verify compliance or exemptions. A member may be asked to provide documentation when the state cannot verify the information electronically.

Alliance Health Centers

Alliance Health Centers provides primary medical, OB/GYN and behavioral health care for patients of all ages. They are committed to providing high quality healthcare options, regardless of one’s ability to pay. A sliding fee discount is available to those who qualify.

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