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Final Rules for Medicaid Work Requirements Are Out. Here’s What You Need to Know.

  • The Centers for Medicare and Medicaid Services released a rule on June 1 implementing Medicaid work requirements from the previous year's budget reconciliation law, effective January 1, with a public comment period ending July 31.
  • Most states plan to check compliance with Medicaid work requirements every six months for only one month, allowing beneficiaries to meet the 80-hour monthly requirement by working in just two months annually.
  • The rule defines work to include unpaid or barter work and excludes individuals with substance use disorders from work requirements for at least five years.
  • Starting January 2028, Medicaid beneficiaries can self-certify medical frailty once and must provide documentation during annual reviews, though some have objected to the CMS definitions and limits on self-attestation.
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GazetteXtraGazetteXtra
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Final rules for Medicaid work requirements are out. Here’s what you need to know.

The Trump administration has issued final rules on how states should ensure that millions of Medicaid enrollees prove they’re working or completing other activities, such as job training, volunteering, or being enrolled in an educational program. The Centers for Medicare…

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GazetteXtra broke the news on Friday, June 12, 2026.
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