The Ohio Department of Medicaid (ODM) presented an overview last week of upcoming federal requirements related to Medicaid eligibility for certain adults. The presentation focused on changes introduced through the federal H.R. 1, which establishes work and community engagement requirements for some Medicaid enrollees.
Under the federal provision, states must implement these requirements by December 31, 2026, although extensions may be available until 2029. The rule applies only to nonexempt adults ages 19 to 64 who are eligible for coverage under Medicaid’s expansion group—often referred to as Group VIII, MAGI Adult, or “expansion” coverage—and whose income falls below 138 percent of the federal poverty level. ODM emphasized that this provision affects only this specific eligibility group, not all Medicaid recipients.
Learn about eligibility, ODMs analysis of Ohio, and more here.