White Paper
How Medicaid Payers Can Prepare for New Work Requirements
10/24/25
Big changes are coming, and payers need to act now. Learn from the experts how to navigate the upcoming Medicaid work requirements landscape.
The Reconciliation Act of 2025, signed on July 4th, introduces new Medicaid work requirements. States must verify at application and renewal that Affordable Care Act (ACA) expansion group members meet these requirements. Adults under 65 who do not qualify for exemptions must show they complete at least 80 hours per month in work, education, or volunteer activities.
Going into effect in January 2027, the law poses significant challenges for states, the Medicaid payer community and for the members who may find themselves without insurance
In this white paper from GroundGame.Health and HMA, in conjunction with Fierce Healthcare, experts explain how Medicaid payers can best be prepared.
