Medicaid Changes Are Coming: What You Need to Know

Medicaid rules are changing. Could these changes affect you?
Starting October 1, 2026, and into 2027, several changes to Medicaid will take effect. These changes may affect some people’s eligibility, renewal dates, and coverage.
We know health insurance changes can be confusing. You don't have to figure it out alone. High Country Community Health (HCCH) is here to help.
What Is Changing?
Here are some of the changes you may need to know about:
October 1, 2026: Changes for Some Noncitizens
Starting October 1, 2026, Medicaid eligibility will change for some noncitizens.
Some people who have Medicaid now may no longer qualify unless they meet certain requirements or qualify for an exemption. If you are unsure how this change may affect you, we encourage you to ask for help.
January 1, 2027: New Work and Community Requirements
Starting January 1, 2027, many adults ages 19–64 who receive Medicaid through the adult expansion program will have new requirements. People who are subject to these requirements may need to complete and report 80 hours each month of work, school, job training, or community service. Some people may be exempt from these requirements. If you receive Medicaid, find out whether these new requirements apply to you.
Medicaid Renewals May Happen More Often
Many adults who receive Medicaid through the expansion program will need to renew their coverage every six months instead of once a year.
This means it will be very important to:
Keep your address and phone number up to date.
Open all letters and notices from Medicaid.
Complete your renewal on time.
Ask for help if you don't understand something in your notice.
Don't ignore a Medicaid renewal notice.
What Can You Do Now?
You may not know yet whether these changes will affect you. That's okay.
There are a few things you can do now:
1. Keep your information up to date. Make sure Medicaid has your current address, phone number, and other important information.
2. Watch for Medicaid notices. Open letters and other messages from Medicaid and respond by the deadline.
3. Know your renewal date. Your coverage may need to be renewed more often.
4. Ask questions. If you aren't sure what a change means for you, ask for help.
5. Apply as soon as possible if you may qualify. Don't wait until you need care to apply for coverage.
HCCH Is Here for You
At High Country Community Health, we know that changes to health insurance can be stressful. But you don't have to navigate them alone. Even if you lose your Medicaid coverage or your insurance changes, HCCH is still here for you. We will continue to provide medical, dental, behavioral health, and pharmacy services to our patients.
If you don't have insurance or your coverage changes, our sliding fee scale is available at all HCCH locations and across all of our service lines. This can help make your care more affordable.
Our team can also help connect you with other resources when needed. HCCH staff may be able to help you explore health insurance options through the Affordable Care Act (ACA) Marketplace, including plans that may have little or no monthly cost for people who qualify.
You Don't Have to Figure It Out Alone
Medicaid changes can feel overwhelming. But you don't have to navigate them by yourself. Information about upcoming Medicaid changes is available at each HCCH clinic. If you have questions about your Medicaid coverage, renewal, or new requirements, please reach out to us.
We're here to help you understand your options, find resources, and stay connected to the care you need. Your health matters. Whatever changes come your way, HCCH is here to help.




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