Keep Your Medicaid: Your 60-Day Plan for the 80-Hour Rule (or Proof You're Exempt)

The new Medicaid work rule starts by January 1, 2027. Here's how to meet it, or prove you're exempt, without losing coverage over paperwork.

Many people lose Medicaid over paperwork, not eligibility. This workbook helps you find out whether the 80-hour rule applies to you, what counts toward your hours, how to prove you're exempt, and how to answer every letter on time.

Inside you'll get:

- A 5-question check: does this rule apply to me?

- The exemptions in plain words

- What counts toward 80 hours: work, volunteering, school or a mix

- How to build a proof folder

- Scripts for every call and letter

- What to do if you get a 'noncompliance' notice

Who it's for: Medicaid expansion adults ages 19–64, the family members who help them, and caseworkers.

What you get: a 44-page PDF workbook with 12 printable worksheets. Instant download. Read it on any device, or print the worksheets.

Facts checked as of September 30, 2026. Educational only. Not legal advice. Confirm with your state Medicaid agency.

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