The Centers for Medicare & Medicaid Services has told Georgia that its Pathways to Coverage Medicaid program expires December 31, and that the state must apply the federal Medicaid work requirement to Pathways enrollees no later than January 1, 2027. A letter dated September 25 says the program’s authorities end on December 31 “unless renewed or otherwise amended.” Georgia has 30 days from the letter, which falls on October 25, to accept the changes in writing.
For Pathways enrollees and applicants, the question is whether the 80-hour monthly rule they already meet is about to change. The letter leaves that Pathways requirement as written and layers the federal rule on top. Georgia says current members are not affected until their 2027 renewal, while new applicants must show work activity beginning with December 2026…