Coconino County says roughly 10,000 to 12,000 of its residents could need to meet or document new Medicaid work rules when they begin in January 2027. About 30,472 county residents are enrolled in AHCCCS, Arizona’s Medicaid program, and the county’s health coverage page says affected adults must show 80 hours a month of work, volunteering, training or school. The county is building a local response before the state finishes its rules.
The 10,000 to 12,000 figure is a planning estimate
The county number is not a count of people who will lose coverage. It covers adults ages 19 to 64 in the Medicaid expansion group who do not qualify for an exemption. AHCCCS describes that group as adults with income up to 133% of the federal poverty level.
The county page, last updated October 12, says the danger is as much paperwork as hours. Without planning, it warns, thousands of residents could lose insurance because they never heard about the rule, have an old address on file or struggle to report what they do each month…