New Requirements for Medicaid

​​​​​​​​​​​​​A new federal law called H.R. 1, as passed by Congress and signed into law by President Trump, adds new requirements for up to 320,000 Maryland Medicaid members. ​The Maryland Depar​​tment of Health, Maryland Health Connection, our managed care organizations​ and community partners are working together to help Maryland families navigate these new changes and stay covered. 

These new requirements will only apply to certain Medicaid members.​

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Requirements and Exemptions 

Work Requireme​​nts

Some Medicaid members may need to complete at least 80 hours in a month doing one or more of these activities:

  • Working at a job or earning at least $580 a month.
  • Volunteering in the community.
  • Taking part in job training programs.
  • Going to school, college, technical school or taking GED classes.
New applicants must complete work requirements or other activities in the month prior to the application. Existing members must complete work requirements or other activities in at least one recent month.

Renew Medicaid Twice a Year

Some Medicaid members may also need to renew their coverage every 6 months rather than every 12 months. ​Renewal may include providing:

  • Income information
  • Proof of work or approved work requirement activities

Some Medicaid Members May Be Exempt

Certain individuals may not need to meet these new requirements, including:

  • Children under age 19
  • Adults age 65 or older
  • Pregnant individuals
  • Individuals living with disabilities
  • Caregivers of young children
  • Individuals managing serious health conditions
Maryland Health Connection​ will provide additional information to Medicaid members if work and renewal requirements apply to them.​​​