All 50 states + D.C.

Go straight to your state’s Medicaid office.

Choose where you live for the official application, phone number, and current federal change guide.

Federal change · begins January 1, 2027

Some adults will need to show 80 hours each month.

Work, school, job training, and community service can count. Many people are excluded or can qualify for an exception—including people who are pregnant, disabled, caring for a young child or a person with a disability, in substance-use treatment, or covered by Medicare.

Read the official federal guide

State watch

New York and Ohio

What is enacted, what is coming, and the safest action to take now.

NY

New York

Renewal protections are narrowing.

Renewal changes now · federal rules January 1, 2027

  • Most adults are returning to standard renewal checks after twelve-month continuous eligibility ended.
  • Some children under six are also returning to standard renewals.
  • The new federal work and community-engagement rules are scheduled for January 1, 2027.

Do now: Update your contact information and respond to every NY State of Health renewal notice.

OH

Ohio

More frequent eligibility checks are coming.

Six-month review law enacted · federal rules January 1, 2027

  • Ohio law calls for expansion eligibility to be reviewed every six months when federal law allows.
  • CMS says affected adults should prepare to document work, school, training, or volunteer hours.
  • People who meet an exclusion should gather medical, caregiving, or other supporting records.

Do now: Update your Ohio Benefits account, save monthly records, and watch for a state notice.

Last reviewed August 21, 2026. This is decision support, not an eligibility determination. Your state Medicaid agency makes the final decision.