11/06/2026
Changes to Missouri Medicaid are coming in 2027, and we want to make sure people understand what they mean.
Beginning January 1, 2027, some adults receiving MO HealthNet through Medicaid expansion will have to meet new work requirements to keep their coverage.
These changes only apply to people enrolled through Medicaid expansion, not everyone receiving Medicaid. If you qualify for MO HealthNet through a traditional disability program, the new work requirements do not apply to you.
However, some people with disabilities receive Medicaid through expansion. Those individuals may have to complete 80 hours a month of work, school, job training, or volunteer activities unless they qualify for an exemption.
People with certain disabilities, chronic illnesses, or mental health conditions may qualify for an exemption from these requirements.
Another change affects how often eligibility is reviewed. People receiving Medicaid through expansion will generally have to renew their coverage every six months instead of once a year.
If you receive MO HealthNet, make sure your contact information is up to date and watch for notices from the state. You don't need to start reporting work hours or applying for an exemption right now.
We know how important healthcare coverage is for people with disabilities to live independently, and we want our community to have the information they need to prepare.
You can learn more about these changes through the Missouri Department of Social Services:
dss.mo.gov/community-engagement-requirements-frequently-asked-questions