Key takeaways
All states
Nebraska and Utah are the only detailed guides in this review. Every other state is not verified / needs confirmation. No start date is shown for an unverified state.
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Alabama
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Alaska
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Arizona
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Arkansas
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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California
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Colorado
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Connecticut
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Delaware
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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District of Columbia
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Florida
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Georgia
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Hawaii
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Idaho
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Illinois
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Indiana
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Iowa
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Kansas
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Kentucky
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Louisiana
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Maine
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Maryland
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Massachusetts
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Michigan
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Minnesota
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Mississippi
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Missouri
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Montana
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Nebraska
Verified guide. Published start on the state page: May 1, 2026.
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Nevada
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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New Hampshire
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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New Jersey
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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New Mexico
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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New York
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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North Carolina
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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North Dakota
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Ohio
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Oklahoma
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Oregon
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Pennsylvania
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Rhode Island
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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South Carolina
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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South Dakota
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Tennessee
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Texas
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Utah
Verified guide. Published start on the state page: January 1, 2027.
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Vermont
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Virginia
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Washington
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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West Virginia
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Wisconsin
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
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Wyoming
Not verified / needs confirmation. No start date is listed.
Use the agency named on your enrollment notice.
Which state Medicaid work rules have been verified here?
This review provides detailed pages for Nebraska and Utah because their official agencies publish usable implementation guidance. 1 2
| State | Published start | Timing detail | Guide |
|---|---|---|---|
| Nebraska | May 1, 2026 | Applicant and renewal review periods differ. | Nebraska |
| Utah | January 1, 2027 | New applicants and existing members use different review periods. | Utah |
State guidance last checked: November 8, 2026 CET. This table is not a 50-state applicability map, a list of all expansion states or proof that no other state has a rule.
Why is my renewal date different from a state start date?
A program can begin on one date while an existing member’s first check is tied to an individual renewal or assessment period. 1 2 3
A new application may look at a month before the application. A renewal may look for qualifying participation during the period since the last eligibility determination. States can have additional verification schedules. Keep the state’s effective date, your assessed month and the deadline on your notice as three separate pieces of information.
What should I do if my state is not listed?
Use your own state Medicaid agency and enrollment notice, and treat this site’s state-specific answer as unconfirmed.
Look for official agency guidance on “community engagement” as well as “work requirements.” A state portal may use a program name different from “Medicaid.” Use the agency website identified on your enrollment notice rather than a search advertisement or a third-party checker. This review does not provide an independently checked agency-directory entry for every state.
Ask the agency:
- Am I in a Medicaid group subject to this requirement?
- Which application or renewal month is being checked?
- Has an exclusion already been verified?
- Which activities, education or income route can satisfy the rule?
- What response is needed, through which official channel, and by what date?
Are state medical-exemption pages always up to date?
Not necessarily; a state summary may predate the October 29, 2026 medical-frailty order. 4
Do not use an older “cannot work” summary as the sole reason to rule yourself out. Read the exemption update and ask the agency about its current interpretation. State timing may be verified while a particular exemption question still needs confirmation.
Which sources support this page?
The cited documents support this page’s treatment of Find your state’s Medicaid work requirement guidance; government sources do not endorse this website. Last checked: 2026-11-08 (CET, Europe/Stockholm).
- Nebraska DHHS Work Requirements; May 1, 2026 start; live applicant and renewal instructions (leaves this independent site).
- Utah DHHS Community Engagement Requirement; January 1, 2027 start; live member instructions (leaves this independent site).
- Public Law 119-21, July 4, 2025; section 71119, statutory pages 306–315; section 10102 for SNAP (leaves this independent site).
- Connecticut Attorney General; October 29, 2026; vacatur, injunction and six-month enforcement protection for plaintiff states (leaves this independent site).