The Minnesota Department of Human Services (DHS) is preparing for several federal Medicaid changes that will affect Medical Assistance (MA) eligibility and coverage over the next two years. While some changes have already taken effect, additional requirements begin in 2027 and 2028.
Key changes include:
· Work requirements beginning January 1, 2027. Some adults ages 21-64 who are not pregnant, not receiving MA based on a disability, and do not live with dependent children will need to report work, school, volunteer activities, participation in a work program, or qualify for an exemption to keep MA coverage.
· More frequent renewals beginning January 1, 2027. Many of these same adults will need to renew their MA coverage every six months rather than annually, increasing the importance of responding promptly to renewal notices.
· Changes for some noncitizen adults starting October 1, 2026. Certain immigration statuses that previously qualified adults for MA will no longer be eligible. Children under age 21 who are lawfully present and people who are pregnant will continue to qualify regardless of immigration status.
· Limits on retroactive coverage beginning January 1, 2028. Medical Assistance will cover fewer months of medical expenses incurred before an application is submitted, making timely applications and renewals even more important.
What clients should do now: Make sure contact information is up to date, watch for renewal notices, promptly report household or income changes, and respond to requests for information by the stated deadlines.
For additional information and partner resources, visit the Minnesota DHS Federal Medicaid Changes webpage.
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