Medicaid Work Requirement Check
Whether a Medicaid expansion adult meets the monthly work requirement or is excepted.
Open the tool → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Exception that applies, or none
- None of these apply
- Age
- 34 years
- Has Medicare Part A or B
- No
- Hours of work in the month
- 60
- Hours of community service
- 20
Result: Meets the requirement for the month: 80 hours of work, community service, work program and school combined (80 needed) (42 CFR 435.552(a)).
The tool opens with these values already filled in. Replace them with your own.
What you enter
- Exception that applies, or none
- Age
- Has Medicare Part A or B
- Hours of work in the month
- Hours of community service
- Hours in a work program
- Enrolled in school at least half-time
- Hours of school, if less than half-time
The other 3 fields
- Income in the month
- Seasonal worker
- Seasonal: 6-month average monthly income
How this is calculated
Citation
42 CFR 435.551-435.554 (June 2026 interim final rule): adults 19 to 64 without Medicare meet a month with 80 hours of work, service, a work program or school combined, half-time school, or income of at least $7.25 x 80 hours; listed groups are excepted. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.