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Michigan Business Beat | Carrie Rosingana, CAMW! | Medicaid Work Requirements Changes As of Oct. 1st

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Chris Holman welcomes back Carrie Rosingana, CEO, CAMW! Capital Area Michigan Works!, Lansing, but serving Ingham, Eaton, and Clinton Counties.

Watch Carrie and Chris discuss Michigan’s upcoming Medicaid work requirements and what employers and workers need to know in the YouTube video shared below:

In their conversation, Chris looked to find out several things from Carrie:

  1. Oct. 1 marked the start of work requirements for many Medicaid recipients. What can you tell us about that?
     
  2. What’s most important for employers to know about Medicaid work requirements?
     
  3. How will employees be impacted?
     
  4. Where can employers go to learn more?


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Key Dates and Rule Changes
  • October 1, 2026 (Non-Citizen Changes): Full Medicaid coverage ended for certain non-LPR (Lawful Permanent Resident) groups, such as specific refugees and asylees. Affected individuals transitioned to Emergency Services Only (ESO) coverage. [1, 2, 3, 4]
  • January 1, 2027 (Work Requirements): Work and community engagement rules officially take effect for expansion adults aged 19–64. [1, 2]

Work Requirements (Effective January 1, 2027)
To maintain benefits under the Healthy Michigan Plan, non-exempt enrollees must satisfy one of the following each month: [1]
  • Complete 80 hours of approved activities (employment, volunteering, job training, or education).
  • Earn at least $580 in a month. [1, 2]
Common Exemptions
You may be exempt from the 80-hour rule if you meet any of the following criteria: [1]
  • Medical or mental health conditions / medical frailty [1, 2]
  • Caregiving for children or disabled individuals [1]
  • Recent pregnancy [1]
  • Compliance with SNAP or TANF work requirements [1]
  • Native American or Alaska Native status [1]
  • Foster care history or disabled veteran status [1]
  • Substance use treatment, incarceration, or temporary hardships (such as natural disasters or high local unemployment) [1]

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ABOUT CAMW!

Capital Area Michigan Works!, a proud partner of the American Job Center network, connects with businesses to develop recruiting and retention strategies and strengthens the local workforce by enhancing education and career opportunities for job seekers. For more information, call (517) 492-5500 or go to www.camw.org.

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