Work Requirements and Redetermination
Starting January 1, 2027, individuals who qualify for health coverage thanks to Medicaid expansion under the Affordable Care Act (also known as “ACA adults”) will be subject to new work requirements and increased renewals.
“ACA adults” enrollees are individuals who:
To maintain eligibility, “ACA adult” Medicaid enrollees must:
Work requirements do not include pregnant women, adults with children 18 and younger, students, and people with disabilities. Some other ACA adults will also be eligible for exemptions from work requirements.
Immigrant Eligibility
Effective October 2026, the federal definition of “qualified immigrants” changed to exclude many previously eligible, lawfully present non-citizens from Medicaid coverage.
These adult groups will no longer qualify:
These groups will still qualify:
Make sure your address is updated to stay informed. We’re here to help. You can contact our insurance assistance team at any of our locations and stop-by our upcoming events:
Got Medicaid Questions? Get Answers!
Major Medicaid changes are going into effect. Keep your address updated, stay informed, and stay covered. Our insurance assistance team is always here to help. Stop by their resource tables to get your questions answered!
Medicaid Redetermination Event
Stay informed about Medicaid changes. Near North Health is partnering with CountyCare for this Medicaid redetermination event. Stop by for in-person assistance to renew coverage, check eligibility and get answers to your questions.