Communications Workplan: Preparing for the Implementation of Medicaid Work Reporting Requirements

Melissa Morales, Gabriela Gomez and McKenzie Perrow, GMMB

Starting January 1, 2027, individuals enrolled in the Medicaid expansion group or similar coverage must either meet work or community engagement requirements or qualify for an exemption to keep their coverage. This federal mandate marks a major shift in how Medicaid operates and how consumers access and maintain their coverage. For the first time, many will need to actively document and report work, school, or volunteer activities to stay enrolled.

This workplan is designed for state Medicaid and health and human services communications staff—particularly those responsible for planning and executing outreach related to new work reporting requirements. States can use it to inform the creation of communications efforts or to cross-reference existing plans, ensuring key tactics are considered, gaps are identified, and strategies are aligned around maintaining coverage for eligible people enrolled in Medicaid.

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