New federal legislation will bring important changes to how some individuals qualify for and maintain AHCCCS coverage. These changes will be implemented over the next several years and may affect eligibility requirements, renewal timelines, and coverage processes.
We are committed to helping members understand these changes and stay informed as new requirements take effect.
Learn More at Our Virtual Member Advisory Group Information Session
Join us for a special information session during our Member Advisory Group meeting on September 23. We will provide an overview of the upcoming AHCCCS changes, discuss who may be affected, answer questions, and share available resources to help members prepare.
Member Advisory Group Information Session
September 23
Virtual via Zoom (Link will be emailed after registering)
1:00-2:00PM
What Are the Upcoming Work Requirements?
Beginning January 1, 2027, federal law will require AHCCCS to implement work requirements for certain adults ages 19 to 64 enrolled in the Adult Group Medicaid program.
To maintain coverage, affected members may need to:
- Earn at least $580 per month, or
- Complete at least 80 hours per month of qualifying activities, or
- Combine earned income with qualifying activities to meet the requirement
Qualifying activities may include:
- Employment (paid or unpaid)
- School or educational programs
- Job training or workforce development programs
- Community service
- Volunteer work
Who May Be Exempt?
Some individuals may qualify for an exemption from the work requirements, including:
- American Indians and Alaska Natives
- Veterans with a 100% disability rating
- Parents, guardians, or caregivers of children age 13 and younger
- Former foster youth under age 26
- Individuals living with certain mental health, physical, intellectual, or developmental disabilities
- Individuals with serious health conditions
- Individuals with substance use disorders that limit their ability to meet requirements
- Individuals participating in substance use treatment or rehabilitation programs
- Pregnant individuals and those within 12 months postpartum
- Individuals already meeting work requirements through SNAP or TANF
- Individuals who are incarcerated or recently released
Additional short-term hardship exemptions may also be available in specific circumstances, such as hospitalization, extended travel for medical care, declared disasters, or high local unemployment.
Stay Informed
While these changes will not take effect until January 2027 (which really is just around the corner!), it is important to understand how they may impact your coverage in the future. CODAC will continue to share updates and resources as more information becomes available.
If you have questions, we encourage you to attend our virtual September 23 Member Advisory Group information session or speak with a member of our team.
Together, we can help ensure you stay informed and connected to the care you need.
