Medicaid Work Reporting Requirements: Implementation Basics and State Decision Points
This report outlines the foundational requirements and policy choices that states must consider as they prepare to implement mandatory Medicaid work reporting under H.R. 1.
The article explains that beginning January 1, 2027, states must impose work reporting requirements on Medicaid expansion enrollees aged 19–64, while also defining which populations are exempt, which activities qualify as “work,” and how compliance should be verified.
It highlights that states must use automated or “ex parte” verification wherever possible, and supply a 30-day period for enrollees to submit evidence when compliance cannot be auto-verified. The piece further details critical decision points—like how often to check compliance, the look-back period for work, and optional hardship exemptions—and underscores the urgency for states to adopt clear policy paths well before the implementation deadline.
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