Medicaid Coverage Help
Medicaid rules have changed. Depending on your state and situation, you may need to share information about work, school, volunteer activities or an exemption. We can help you find official state resources and connect you with coverage support.
Find Official Medicaid Resources For Your State
Because Medicaid is managed by each state, the best place to confirm your next steps is your state Medicaid program. Choose your state below to find contact information, eligibility resources and enrollment support.
Frequently Asked Questions
St. Elizabeth is here to help connect you with resources. Medicaid eligibility rules and next steps are managed by each state and may vary based on your situation. Always review notices from your state Medicaid program and use the state links below for the most current information.
Medicaid eligibility rules are changing for some adults. Depending on your state, coverage type and personal situation, you may be asked to share information about work, school, volunteer activities or an exemption. Kentucky, Indiana and Ohio may each have different steps, timelines and resources.
If you have health coverage through Medicaid, new federal rules will soon require adults, aged 19 to 64, to complete certain requirements to keep your coverage.
H.R. 1, commonly, referenced as the One Big Beautiful Bill Act, established requirements, beginning Jan. 1, 2027, for eligible able-bodied adult Medicaid recipients, to complete at least 80 hours per month of qualifying activities including:
- Paid work.
- Community service.
- State-approved job training or SNAP work programs.
- Enrollment at least half-time in higher education or career and technical programs.
The most important step: watch for mail, email or portal messages from your state Medicaid program and respond by the deadline listed.
Your state’s Medicaid will contact you to comply, but you must complete these necessary steps.
- Update your information: Make sure they have your correct mailing address, phone number and email.
- Prepare. Contact your state Medicaid office to find out what else you can do or provide to keep your coverage. Gather important medical or legal documents in case you need to show that you qualify for an exclusion.
- Check your mail/email. Your state Medicaid office will send you a letter or email in the next few months if the eligibility changes apply to you.
- Track your activities. Keep track of any work, volunteer, job training or school hours completed each month. Start now so you’ll be ready to show you meet the new requirement when it’s time to renew.
If a work or community engagement requirement applies to you, your state may ask you to show that you participate in qualifying activities for a certain number of hours each month. These activities may include:
- Working or meeting an income threshold.
- Going to school or participating in an education program.
- Taking part in job training.
- Volunteering or doing community service.
- Combining more than one approved activity.
What counts, how to report it and what documentation is needed may vary by state. Use the state links below or request support if you are unsure what applies to you.
- You will receive a noncompliance notice.
- You will have 30 days to provide more information.
- If you are currently enrolled in Medicaid, your coverage will continue for those 30 days.
- You might be able to purchase health coverage through the Health Insurance Marketplace (healthcare.gov or kynect.ky.gov if you live in Kentucky).
Some people may not need to meet a work or community engagement requirement. This is sometimes called an exemption. Exemptions can vary by state and situation, so review your state Medicaid resources or request coverage support if you have questions.
People who may qualify for an exemption include those who are:
- Younger than 19 or 65 or older
- Pregnant or recently postpartum
- Caring for a young child or a person with a disability
- Living with a disability, serious medical condition or functional limitation
- Receiving Medicare
- Already meeting SNAP or TANF work requirements
- Participating in certain treatment or recovery programs
- Part of another qualifying group listed by their state Medicaid program
- If you do not complete your paperwork, you will be denied Medicaid coverage.
- Having health coverage gives you peace of mind. It can help lower the cost of healthcare and make it easier to get the care and medications you need when you need them.
- Staying covered helps you stay connected to your healthcare team. Continuous coverage can make it easier to maintain regular checkups, manage chronic conditions and access important healthcare services.
If your state asks for more information, it may help to have documents ready, such as:
- Recent pay stubs or proof of income.
- School or training program information.
- Volunteer or community service records.
- Medical or caregiving documentation, if applicable.
- Notices or letters from your state Medicaid program.
Note: Your state will tell you what documents are needed for your situation
Community Resource Directory
Many local organizations can help with needs that may affect your health and daily life, including housing, food, transportation, clothing and more. Explore the St. Elizabeth Community Resource Directory to find support in Northern Kentucky, Southeastern Indiana and Greater Cincinnati.
