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.
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.
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.
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.
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.
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.
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.
Organizations should use current MDHHS materials when communicating eligibility or reporting information to patients.
Some Healthy Michigan Plan members may be excused from meeting the work requirements. This is called an exemption.
Exemptions may apply to:
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:
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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