Important Changes Are Coming to Medicaid
New Medicaid rules are coming. These changes are part of the One Big Beautiful Bill Act (H.R.1).
Starting in January 1, 2027, some Nevada Medicaid members may need to meet new work requirements to keep their Medicaid coverage. Members may also need to renew Medicaid coverage every 6 months instead of once a year.
We are here to help you understand these changes and stay covered.
What's Changing
New Work Requirements
Some adults enrolled in Medicaid may need to complete 80 hours each month of approved activities.
These activities can include:
- Employment
- School
- Job training
- Self-Employment
- Community Service
- Seasonal Work
Members may be able to combine activities to reach the monthly requirement. For example, time spent working and volunteering may count toward the same 80-hour total.
Eligible members can meet this requirement in two ways. They can complete 80 hours of approved activities each month, or they can earn at least $580 per month through qualifying work.
View a list of community partners who can help you meet these requirements.
How Often You Renew
Another important change is the Medicaid renewal process. Today, members renew their Medicaid coverage once each year. Starting January 1, 2027, some members will need to complete a renewal every 6 months. This means members will have two renewal periods each year.
During the renewal process, Nevada Medicaid may ask members to confirm or update information such as:
- Home address
- Household income
- Family size
Completing renewals on time is important to help prevent gaps in coverage.
Who Will Be Affected?
These new requirements may apply to some adults ages 19 through 64. NOT ALL Medicaid members will be required to meet work requirements.
Some groups are exempt, including:
- Pregnant women
- Some parents and caregivers
- People with disabilities or serious health conditions
- Former foster youth
- People getting treatment for a health problem
- People who already meet work requirements through programs such as TANF or SNAP
Nevada Medicaid will provide information to members who may be affected. If you are unsure whether the requirements apply to you, please contact Nevada Medicaid or SilverSummit Healthplan for guidance.
Steps You Can Take Now
The most important thing you can do right now is make sure Nevada Medicaid has your current contact information.
You can also prepare for these changes by:
- Watching the mail for Medicaid notices
- Reading all Medicaid letters carefully
- Keeping records of work, school, training and volunteer activities
Taking these simple steps now can help make future renewals and reporting requirements easier.
We're Here to Help
We are here to help you understand Medicaid changes. We can connect you with support and local resources to help you stay covered and get the care you need.
Call Member Services at 1-844-366-2880 (TTY: 1-844-804-6086 or Relay 711) Monday- Friday 8:00 a.m.- 6:00 p.m.
Know Your Options
If you no longer qualify for Medicaid, don't worry.
Affordable health coverage options may be available through Ambetter from SilverSummit Healthplan. Adults age 65 and older may also look into Wellcare by SilverSummit Healthplan.
We can help you look at your options and find a plan that works for you.
Frequently Asked Questions
Work requirements are rules that may require some adults ages 19 to 64 who have Medicaid to complete approved activities to keep their health coverage.
Nevada Medicaid will notify affected members by mail if they are required to report work and community engagement activities. If you are unsure whether the requirements apply to you, contact Nevada Medicaid for more information.
You may be exempt from the Medicaid work requirements if you:
- Are pregnant
- Care for a child under age 14
- Care for a person with a disability who needs help with daily tasks
- Are a veteran with a total disability
- Are American Indian or Alaska Native
- Are in jail or prison
- Already meet SNAP or TANF work requirements
- Are receiving treatment for drug or alcohol use
- Have a physical health condition, mental health condition, disability, or substance use disorder that keeps you from working, volunteering, or attending school
Nevada Medicaid will provide instructions on how and when to report your approved activities. Keep records of your hours and activities.
If work requirements apply to you and you do not complete or report on your required activities, you could lose Medicaid coverage.
Nevada Medicaid will send you a letter in the mail when it is time to renew. Make sure your address, phone number and email address are up to date.
You may lose your Medicaid coverage if you do not complete your renewal by the deadline.
Report changes as soon as possible. This helps make sure your information is correct and that you receive important updates about your coverage, work requirements and renewals.
Visit our community partners page for places that can help you meet requirements.