Becker's Healthcare December 9, 2025
CMS issued a bulletin Dec. 8 outlining guidance on Medicaid’s forthcoming work requirements.
Some states are already embracing work requirements, while others are looking for exceptions.
Here are eight things to know:
1. Work requirements will kick in Jan. 1, 2027, unless a state opts to implement them sooner.
2. Most individuals enrolled in a state plan’s adult group must comply. This also includes those who can enroll under a waiver that provides minimum essential coverage, who fall within the adult group age range, are not pregnant and are not on Medicare.
3. Enrollees must work, participate in community service or attend school — or carry out a combination of these — for a minimum of 80 hours per month....
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