Medicaid Changes: What You Need to Know and Do to Stay Covered
- agewisehome
- Aug 8
- 2 min read
Medicaid provides essential healthcare coverage for millions of Americans, including older adults, people with disabilities, and low-income families. Over the last few years, several policy changes have affected how beneficiaries apply, renew, and maintain coverage. Here’s a breakdown of what’s new — and what you need to do to stay enrolled.
1. Annual (and Sometimes More Frequent) Renewals Are Back
During the COVID-19 Public Health Emergency, states paused annual Medicaid renewals. That pause ended in 2023, meaning all beneficiaries must complete a renewal process each year. Some states require updates every six months to keep your information current.
What to do:
Watch for renewal forms from your state Medicaid agency.
Respond quickly to avoid gaps in coverage.
Update your address, phone, and email so notices reach you.
2. Work Requirements in Some States
Certain states have adopted work or community engagement requirements for specific Medicaid populations. This means you may have to work, volunteer, or participate in job training for a set number of hours per month to stay covered.
What to do:
Check if your state has a work requirement.
Keep documentation of hours and submit them as required.
3. Income & Asset Checks Are Stricter
States are now re-verifying income and asset limits more closely. Even a small increase in income can affect eligibility.
What to do:
Report changes in income or assets right away.
Keep copies of pay stubs, bank statements, and benefit letters.
4. Extra Help for Caregiver Support
Medicaid continues to offer programs that pay family members or friends to provide care at home in many states. However, eligibility rules vary and may require updated assessments.
What to do:
Ask your case manager about caregiver payment programs.
Ensure your care plan is current and reflects your needs.
5. Be Ready for Electronic Communication
Many states are shifting to online portals, texts, and email for notices and renewals.
What to do:
Create an account on your state Medicaid portal.
Opt in for text/email alerts for faster updates.
✅ Bottom Line: Medicaid is no longer “set it and forget it.” Renewals, work requirements, and updated eligibility checks mean beneficiaries need to stay organized and respond quickly to keep coverage.
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