What to Know About Upcoming Medicaid Changes
Medicaid eligibility requirements are expected to change in 2027. Because of these changes, some people with Medicaid may need to take steps to keep their coverage.
Many people won’t need to do anything right away. But it’s important to watch for updates, renew your coverage on time and respond to any letters or requests for information.
Who could be affected?
The new Work and Community Engagement Requirements mainly apply to some adults ages 19 to 64.
Many people may already meet the Work and Community Engagement Requirements or qualify for an exemption. Even so, you may still need to respond to notices, confirm your information or provide documentation showing that you meet the requirements or qualify for an exemption.
What should I do now?
For now, the best thing you can do is:
- Make sure Medicaid has your current contact information, including your phone number, address and email.
- Watch for updates about your Medicaid coverage.
- Renew your coverage when it’s time.
- Read and respond to any letters or requests for information by the deadline.
What activities may count toward the Work and Community Engagement Requirements?
Activities that may count include:
- Working full time or part time
- Going to school or participating in job training
- Volunteering or community service
You may already be doing something that counts. If you’re asked, you may still need to report your activities or confirm your information.
What if I qualify for an exemption?
Some people may not need to meet these requirements, including those who:
- Are pregnant or recently had a baby
- Have a disability or serious health condition
- Care for a child or someone with a disability
- Participate in a treatment or recovery program
An exemption may not be automatic. You may be asked to provide information or documentation to show that you qualify for an exemption.
Why is it important to respond to notices?
If you don’t respond by the deadline, you could lose your Medicaid coverage.
If you receive a letter or message:
- Read it carefully.
- Respond by the deadline.
- Ask for help if you’re not sure what to do.
I have a Medicaid health plan. Does this still apply to me?
Yes. Some Medicaid members receive coverage through another health plan.
Even if your health plan stays the same, your Medicaid eligibility may still be reviewed. You may also need to respond to requests for information.
Examples include CareSource, Buckeye, UnitedHealthcare Community Plan, Molina, AmeriHealth Caritas, Anthem Blue Cross Blue Shield and Humana Healthy Horizons.
Questions About Your Medicaid Coverage?
If you’re not sure what these changes mean for you or what steps you may need to take, call the Ohio Medicaid Consumer Hotline at 800.324.8680 or visit benefits.ohio.gov.
