Federal Changes to Medicaid

Starting January 1, 2027, the federal government is changing some Medicaid rules.

NYC Health + Hospitals wants to help you keep your health insurance coverage.

What are the new rules?

If you are 19 to 64 years old, you may need to:

Renew more often: You may need to renew your coverage every 6 months
Prove work or other activity hours: You may need to work, go to school, train for a job, or volunteer for 80 hours each month, or earn at least $580 a month, or get an exception.

You will only need to show your work or activity hours when you are applying for or renewing your Medicaid.

To Speak with a NYC Health + Hospitals Financial Counselor, please call:

1-844-NYC-4NYC
1-844-692-4692

Press option 3

Who does NOT have to follow these rules?

These rules may not apply to you if you are:

Pregnant now or were pregnant in the last year
Caring for a child under age 14 or someone with a disability
Already meeting or exempt from SNAP work requirements
Getting medical care for a health condition that makes it hard to meet the work rules
Getting treatment for substance use
On Medicare, a current or former foster care youth (under age 26), or were recently in jail

More information is on the New York State of Health’s “Stay Covered” webpage.

Do you get Cash Assistance?

Your Medicaid application will now be separate. You will need to renew your Medicaid on its own, separate from Cash Assistance.

What should you do today?

Update your info: Make sure New York State has your correct address, email address and phone number so you do not miss important letters.
Watch your mail: You will get a letter soon from the New York State of Health or Local Department of Social Services if these rules affect you.

We Are Here to Help!

NYC Health + Hospitals staff can help you:

Renew your Medicaid
Prove you meet the rules or qualify for an exception if eligible
Find work training or volunteer programs

If you get a notice about renewing your coverage or the work rules and need help, call to speak with a NYC Health + Hospitals Financial Counselor (1-844-NYC-4NYC) or visit the Financial Counseling office at your NYC Health + Hospitals care site.