Kentucky is not asking Medicaid expansion adults to hit 80 hours in a single month. Starting January 1, 2027, the state will look back over the six months before a member’s renewal and expect the requirement to be met in at least three of them. The test is 80 hours a month of work or community activity, or earnings of $580 a month.
The Kentucky Health Benefit Exchange, which runs the state’s benefits site, calls the program the Medicaid Work or Community Engagement requirement and says it applies to adults ages 19 to 64 who qualify for Medicaid based only on income. That group is also known as Medicaid expansion.
A February renewal, worked through
The state gives an example. For a renewal in February 2027, a member must show work or community engagement in three of the months from August 2026 through February 2027. The window reaches back to months before the January start date…