About 774,000 Ohioans are enrolled in Medicaid as working-age expansion adults, and the Ohio Department of Medicaid expects roughly 62,000 of them to lose eligibility during the state’s 2026-27 budget period as the new work rule takes hold. Beginning January 1, 2027, adults 19 to 64 in that group must show 80 hours a month of work or approved activities, or income of at least $580 a month, and renew their coverage every six months.
The enrollment and loss figures come from a February 2026 department presentation, which lists the group’s total at 774,342 and says ODM is “estimating that ~62,000 enrollees will lose their Medicaid eligibility” in that period.
Who Ohio puts in the expansion group
The state calls the group Group VIII. Its partner packet describes adults 19 to 64 whose Medicaid is based on income at or below 138 percent of the federal poverty level. The packet’s examples are $22,025 a year for one person and $37,702 for a family of three…