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Am I exempt from the Medicaid work requirement?

Under the new law (H.R.1), many adults on Medicaid will need to report about 80 hours a month of work, school, training, or volunteering — unless they're exempt. Many people are exempt and don't know it. Answer a few quick questions to find out what likely applies to you.

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FAQ

Common questions

Who is exempt from the Medicaid work requirement?

Common exemption categories include: parents or caretakers of a child under 14 (or a dependent), pregnant and postpartum members, people with a disability or who are medically frail, people in substance-use-disorder treatment, American Indian and Alaska Native members, and students enrolled at least half-time. An exemption only protects a member the state can identify and document, so it should be claimed. Only your state Medicaid agency can confirm your status.

Do I have to work to keep my Medicaid?

Under H.R.1, many Medicaid expansion adults (generally ages 19–64) must complete about 80 hours per month of work, school, job training, or community service and report it — unless they qualify for an exemption. Many people are exempt and don't realize it. Use the free 'Am I exempt?' checker, then confirm with your health plan or state Medicaid office.

What is the 80 hours a month Medicaid rule?

It is roughly 20 hours a week of work, school, job training, or volunteering, in any combination — required of many Medicaid expansion adults under the new community-engagement (work) requirements, unless exempt. You generally must report it to your state.

How do I claim a Medicaid work-requirement exemption?

Contact your Medicaid health plan or your state Medicaid office and tell them your situation (for example, that you care for a young child or are pregnant). They may already have it on file, but confirming gets your exemption recorded. Do not stop using your Medicaid while you confirm.