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Michigan Center for Rural Health

Michigan Center for Rural Health

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Michigan Center for Rural Health
  • About Us
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< About Us

  • Annual Conferences
  • Staff
  • Board
  • Who We Serve

< News

< Programs

  • Hospital Programs
  • Improving Veterans Access to Healthcare
  • Palliative Care
  • Primary Care
  • EMS
  • Workforce
  • Social Drivers of Health
  • Northern Michigan Opioid Response Consortium

< Education

  • Grand Rounds
  • EMS Continuing Education
  • Project ECHO

< Resources

  • CKD Toolkit for Rural Healthcare Teams
  • Community Health Workers
  • Improving Diabetic Eye Exam Rates: A Practical Guide for RHCs
  • Rural Maternal Health Environmental Scan
  • MCRH Resource Snapshot
  • National Rural Resources
  • Newsletter Archive
  • Remote Patient Monitoring for Rural Michigan Hospitals

< Events

< Sponsors

Michigan Center for Rural Health > Resources >

Healthy Michigan Plan Work Requirement Resources

Healthy Michigan Plan Work Requirement Resources

About Us

  • Annual Conferences
  • Staff
  • Board
  • Who We Serve

News

  • News

Resources

  • CKD Toolkit for Rural Healthcare Teams
  • Community Health Workers
  • Improving Diabetic Eye Exam Rates: A Practical Guide for RHCs
  • MCRH Resource Snapshot
  • National Rural Resources
  • Newsletter Archive
  • Remote Patient Monitoring for Rural Michigan Hospitals
  • Rural Maternal Health Environmental Scan

Programs

  • Hospital Programs
  • Improving Veterans Access to Healthcare
  • Palliative Care
  • Primary Care
  • EMS
  • Workforce
  • Social Drivers of Health
  • Northern Michigan Opioid Response Consortium

Education

  • Grand Rounds
  • EMS Continuing Education
  • Project ECHO

Events

  • CAH Conference
  • Rural Health Conference
  • Opioid and Substance Use Summit
  • National Rural Health Day

Contact us

(517) 355-7979

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Michigan State University 909 Wilson Rd. Rm B-218 East Lansing, MI 48824

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SPARTANS WILL|© Michigan State University|

The federal government has issued a new rule requiring that, beginning January 1, 2027, certain adults who are applying for or currently enrolled in Medicaid through the Healthy Michigan Plan (HMP) must work or participate in other approved activities to maintain their health coverage. 

Many people that need to meet this new requirement may already be doing so through work, school or other approved activities and some others may qualify for an exemption.

MCRH has gathered information and resources to help rural healthcare organizations, providers and community partners understand these changes and support Healthy Michigan Plan members.
 

Guidance may change as implementation approaches. Visit the MDHHS Healthy Michigan Plan website for current eligibility, exemption and reporting information. 

Community Partner Toolkit

The MDHHS Community Partner Toolkit contains materials to help healthcare organizations and community partners educate and assist Healthy Michigan Plan members as the new work requirements are implemented.

The toolkit includes:

  • Educational resources
  • Outreach materials
  • Promotional tools
  • Information organizations can share with Healthy Michigan Plan members

Many of these materials direct members to the Healthy Michigan Plan website, where they can find the most current information. MDHHS will continue adding resources as implementation approaches.

Access the Toolkit

HR1 & Medicaid Webinar Series

The HR1 & Medicaid Webinar Series helps healthcare organizations and community partners understand and communicate changes to Medicaid resulting from HR1. The series primarily focuses on Healthy Michigan Plan work requirements and how organizations can help Michigan residents prepare for these changes.

Planning for Work Requirements

Learn about the basics of the provisions and changes from the Centers for Medicare & Medicaid Services, how MDHHS is planning and preparing, and available communication tools and resources.

From Policy to Practice

Learn how MDHHS will turn policy into practice, including who is impacted by work requirements, available exemptions and exclusions, way participants can meet the requirements, verification processes, and other key implementation details.

Information for Healthcare Teams
  • Healthy Michigan Plan Provider Information
  • 2023 HMP Demonstration Waiver Extension Request Information
  • Healthy Michigan Plan Waiver Documentation
  • Healthy Michigan Plan Evaluation Reports
  • Healthy Michigan Plan Program History
What Rural Healthcare Organizations Should Know

Beginning January 1, 2027, certain adults ages 19–64 who are enrolled in or applying for coverage through the Healthy Michigan Plan will need to work or participate in other qualifying activities to maintain coverage.

Many members may already satisfy the requirements through employment, education or another approved activity. Others may qualify for an exemption.

Rural healthcare organizations may encounter patients who:

  • Are unsure whether they have Healthy Michigan Plan coverage
  • Need help understanding notices from MDHHS
  • Already meet the requirements but need to understand verification
  • May qualify for a health, caregiving or hardship exemption
  • Need assistance accessing MI Bridges or updating their information

Organizations should use current MDHHS materials when communicating eligibility or reporting information to patients.

Review current work requirement information

Supporting Healthy Michigan Plan Members

Healthcare organizations and community partners can encourage Healthy Michigan Plan members to:

  1. Confirm whether their Medicaid coverage is through the Healthy Michigan Plan.
  2. Keep their contact information current in MI Bridges.
  3. Report changes that may affect their coverage.
  4. Read and respond to MDHHS notices by the listed deadlines.
  5. Provide requested supporting documents.
  6. Continue checking the Healthy Michigan Plan website for updates.

Members can confirm their coverage by:

  • Checking MI Bridges
  • Checking myHealthPortal or myHealthButton
  • Contacting their health plan
  • Calling the Beneficiary Help Line at 1-800-642-3195

Log in to MI Bridges
Visit the Healthy Michigan Plan website

Exemption Reference Information

Some Healthy Michigan Plan members may be excused from meeting the work requirements. This is called an exemption.

Exemptions may apply to:

  • Pregnant or gave birth within the past 12 months.
  • A parent or caregiver of a child age 13 or under.
  • Already subject to work requirements for food (SNAP) or cash (TANF) benefits.
  • A caregiver of a person(s) with a disability.
  • Living with a physical, intellectual or developmental disability that makes it hard to do daily activities.
  • A disabled veteran. 
  • A person with complex health needs. 
  • An American Indian or Alaska Native (AI/AN). 
  • In a treatment program for a substance use disorder.
  • In jail or prison now or in the past three months.
  • Living with a substance use disorder. 
  • Living with a mental health disorder. 
  • A person that was in foster care at age 18 and is currently younger than age 26.
  • Living with a serious health condition that requires regular treatment.
     

Experiencing temporary hardship, which is a short-term situation that may make it hard to work or complete other qualifying work activities. In these cases, people may not need to meet work requirements for a limited period of time. Temporary hardships include:

  • Receiving care in a facility such as a hospital, nursing facility, psychiatric hospital, facility for people with intellectual disabilities, etc.
  • Traveling outside of your community of residence for medical care for yourself or a dependent because it is not available in your community.
  • Living in federally declared disaster areas.
  • Living in an area with a high unemployment rate.

Review complete MDHHS exemption guidance
 

Last updated: September 1, 2026
MCRH provides these resources to support rural healthcare organizations and community partners. MDHHS remains the authoritative source for Healthy Michigan Plan eligibility, coverage and implementation guidance.

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