DSS says Medicaid expansion currently has no work or community-engagement requirement. Beginning January 1, 2027, nonexempt applicants and enrollees must complete 80 monthly hours of work, community service, a work program, or a combination; have qualifying monthly earnings, with seasonal work averaged over six months; or attend school at least half time.
Listed exemptions include American Indians and Alaska Natives, pregnancy and postpartum coverage, certain caregivers, disability or specified medical conditions, and current or recent incarceration. Expansion renewals also move from 12 months to every six months, with AIAN enrollees exempt from that increased frequency.
Re-verified 2026-08-20: the page now states DSS "will begin notifying Medicaid Expansion enrollees who are impacted by community engagement requirements in September 2026" — roughly two weeks out, and the point at which front-desk and enrollment staff start absorbing the questions rather than the January date. It also now sets cost shares for Expansion enrollees above 100% FPL effective October 1, 2028.
Scope note: the DSS page carries no publication date, so this date reflects our verification of the live page, not a state publication date; the page names no health center, so the operational consequence for FQHCs is our inference.