Medicaid Work Requirements: Federal Outreach Requirements and State Plans

(Authors: Anna Mudumala and Jennifer Tolbert for The Kaiser Family Foundation Published: Jul 24, 2026)

The 2025 reconciliation law requires 44 states to condition Medicaid eligibility for adults in the Affordable Care Act (ACA) Medicaid expansion group and certain enrollees in 1115 waiver programs, including in non-expansion states (Georgia, Tennessee, and Wisconsin), on meeting work requirements starting January 1, 2027. Implementing work requirements will require complex changes to eligibility and enrollment systems and processes. States will also need to conduct targeted outreach and education to enrollees and potential applicants as well as broader outreach to providers and managed care plans to inform them of the changes. On June 1, 2026, the Centers for Medicare and Medicaid Services (CMS) issued a long-anticipated interim final rule that will guide state implementation of Medicaid work requirements, including outreach efforts. Continue reading here…

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