Kentucky will start requiring some Medicaid members to prove they are working or serving their community on January 1, 2027. Under the new rule, adults on the state’s Medicaid expansion must show 80 hours of work or community engagement in at least three of the six months before each renewal, according to the Kentucky Health Benefit Exchange. Copays for many of the same members follow on October 1, 2028.
The rule covers adults ages 19 to 64 who qualify for Medicaid based only on income, and who are not exempt. For people in that group, the task starts in the new year: keep proof of hours month by month, because renewals will come every six months instead of once a year and the state will look back across that half-year. Anyone who may fit an exemption, such as people who receive disability-based SSI or SSDI, should sort that out first, since an exempt member has nothing to log…