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Ohio Medicaid Work Requirements

Beginning in 2027, new work and community activity requirements will affect certain adults enrolled in Ohio Medicaid. Not everyone will be affected. Lorain County Health & Dentistry is here to help you understand these changes, learn who may be affected, and find the resources you need to prepare.

Questions about Medicaid changes?

Our Enrollment Team can help!

What You Need to Know

Ohio Medicaid work requirements are scheduled to begin January 1, 2027. These changes may affect certain adults enrolled in Medicaid expansion coverage. Here's what you should know.

New Ohio Medicaid work requirements are scheduled to begin January 1, 2027. Not everyone enrolled in Medicaid will be affected.

When Do the Changes Begin?

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Certain adults ages 19–64 enrolled in Ohio Medicaid expansion may need to meet the new requirements. Some individuals qualify for exemptions.

Who May Be Affected?

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What Happens If I Don't Meet the Requirements?

Individuals who are required to participate generally must complete 80 hours per month of approved activities, such as working, volunteering, participating in job training, or attending school at least half-time.

What Are the Requirements?

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Who May Be Exempt?

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Exemptions may apply to pregnant individuals, caregivers, people with certain medical conditions or disabilities, and others who meet specific criteria.


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Not meeting the requirements or failing to provide requested information could affect your Medicaid eligibility or coverage. Be sure to read and respond to important Medicaid notices.


How Can I Prepare?

Learn whether the changes may apply to you, keep your contact information updated with Ohio Medicaid, watch for important notices, and ask questions if you need help.

How to Prepare for 2027

You don't have to wait until the new requirements begin to get informed. Taking a few simple steps now can help you prepare for the upcoming Ohio Medicaid changes.

Ask Questions Early. If you're unsure whether the requirements may apply to you or need help finding information, contact our Enrollment Team. I want the 4 things in complete sentence not a eadser and sentence

Check Whether the Changes May Apply to You. Use our Medicaid Work Requirements Flowchart to better understand who may be affected and who may qualify for an exemption.

Update Your Contact Information. Make sure Ohio Medicaid has your current mailing address, phone number, and other contact information so you don't miss important notices.

Watch for Medicaid Notices. Read letters, emails, and other communications from Ohio Medicaid or your County Job & Family Services office. Follow any instructions and respond by the deadlines provided.

Medicaid Resources & Educational Materials

Explore our free educational resources to learn more about Ohio Medicaid work requirements coming in 2027. Available in English and Spanish, these materials can be viewed, downloaded, printed, and shared.

No matter where you live, you are welcome at Lorain County Health & Dentistry. You do not need to reside in Lorain County to receive care. Our doors are open to everyone seeking compassionate, affordable health services.

Make an Appointment

Call (440) 240-1655 to make an appointment at any of our six locations around Lorain County.

Monday – Friday, 8:30 AM – 5:00 PM 

Some night hours are available, please ask when making an appointment. 

Please arrive for your appointment or call to cancel by 9:00 AM. If you do not cancel by 9:00 AM, you will be required to return for a Same Day or Open Access visit before scheduling future appointments. To request a Same Day appointment, please call at 8:00 AM.

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