New Federal Medicaid Work Requirements Take Effect in Maryland Jan. 1, 2027
ElrichSep 19, 2026
New federal Medicaid requirements will take effect in Maryland on Jan. 1, 2027, requiring certain adults ages 19–64 to demonstrate employment or qualifying activity participation and to renew eligibility every six months instead of annually. Maryland Health Connection will mail letters in September 2026 to potentially affected residents. Separate federal changes affecting Medicaid eligibility for some immigrants are set to begin Oct. 1, 2026.
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Change response
Source: County Executive Marc Elrich, “Montgomery Update: Resignation of MCPD Police Chief, Laying Out a Zero Waste Future, and Celebrating Hispanic Heritage”, received Sep 19, 2026.
Links in this alert
This alert didn't include additional links. The primary source is the county email cited above.
Key dates
2026-10-01
effective — Federal Medicaid eligibility changes for some immigrants take effect
2027-01-01
effective — Federal Medicaid work requirement takes effect for adults ages 19–64 in Maryland
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