CMS lets states punt Medicaid work requirements by six months
ByChristian Robles,
Technology Reporter, Nextgov/FCW
November 13, 2026 06:01 PM ET
The move gives states additional time to upgrade eligibility systems to comply with federal regulations.
Medicaid programs have the option not to fully implement Medicaid work requirements until June 30, 2027, according to a Friday letter the Centers for Medicare and Medicaid Services sent to state officials.
During that “hold harmless” period, states can decide to not deny Medicaid coverage to individuals who are out of compliance with work requirements. But states must still assess whether individuals meet work requirements during the period, the letter said.
“Doing so will let states test and refine their systems and processes before enforcement begins, supporting a successful launch of the community engagement requirement,” it explained.
“This will also provide states the opportunity to learn from the early months of implementation to identify and address workforce training needs and improve...
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