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10.01.2026
Medicaid eligibility rules are changing.
In 2027, some Nevada Medicaid members will need to work, volunteer, or go to school to keep their health coverage. New rules take effect January 1, 2027.
Who may not have to meet work requirements?
If anything on the list below describes you, you are considered a “Specified Excluded Individual” and do not need to meet the new requirements:
✔ You are a parent, guardian or family caregiver of a child under age 14
✔ You are a parent, guardian or family caregiver of someone with a disability who needs help with daily activities (like bathing, dressing, or daily chores)
✔ You are pregnant or gave birth in the past 12 months
✔ You left foster care at age 18 and are now under age 26
✔ You are a veteran with a total disability
✔ You are American Indian or Alaska Native
✔ You are currently incarcerated
✔ You already meet work requirements for SNAP (food assistance) or TANF (NEON) (cash assistance)
✔ You are receiving treatment for a drug or alcohol use disorder
✔ You have a serious physical health condition, mental health condition, substance use disorder, or disability that prevents you from working, volunteering, or going to school
If any of the situations above apply to you, you do not need to meet the new requirements to keep your Medicaid coverage.
If none of the situations above apply to you, and you receive Medicaid as an adult age 19 through 64, you are considered an “Applicable Individual” and may need to meet work requirements.
Other Reasons You May Not Have to Meet Work Requirements
Applicable Individuals may not have to meet work requirements if any of the following applied to you during the month before your Medicaid application, or during at least one month since your last Medicaid renewal.
✔ You were under age 19
✔ You were entitled to or enrolled in Medicare
✔ You qualified for the incarceration exception because you were in jail or prison at any time during the three months before the month being reviewed.
✔ You met specified excluded status in one month of your lookback period
✔ You are experiencing a temporary hardship (see below)
See the full list on the Nevada Medicaid website.
Get ready. Stay covered.
Take these important steps right now on the Nevada Medicaid website to prepare for the changes and keep your coverage.
- Update your contact information: This helps ensure Nevada Medicaid can contact you with important eligibility information when it’s time to renew your coverage.
- Find out if new requirements apply to you: The Nevada Medicaid website has a list of exemptions.
- Learn the new rules: Know what will be required from you if you are affected.
- Check your Medicaid renewal date: If you are affected, on your renewal date, you will need to show that you have met the work/volunteer/school requirements during your review period. Do not wait until your renewal date to act.
If you want to find out more about if work requirements apply to you visit www.nevadamedicaid.nv.gov/WorkRequirements/ or call your Managed Care Organization (Anthem, CareSource, Health Plan of Nevada, Molina, or SilverSummit).
For support with Nevada Medicaid Work Requirements, please contact the dedicated hotline at 702-631-3310 or 775-824-7410.
If you have specific questions about your Medicaid eligibility, you can reach out to the Division of Social Services team.
Email: [email protected]
Phone:
Southern Nevada (702) 486-1646
Northern Nevada (775) 684-7200
Toll Free (800) 992-0900
In-Person:
