The West Virginia Department of Human Services is reminding Medicaid members to take steps now to prepare for new federal eligibility requirements that will take effect in 2027.
Beginning Jan. 1, 2027, certain adults ages 19 through 64 enrolled in the Medicaid Adult Expansion Group will be required to complete 80 hours per month of qualifying activities to maintain Medicaid coverage.
Qualifying activities may include employment, participation in a work program, education, or volunteering. Members may combine activities to meet the 80-hour monthly requirement. Members may also meet the requirement by earning at least $580 per month. Seasonal workers may qualify based on their six-month average income.
What should Medicaid members do now?
Medicaid members are encouraged to:
•Keep information up to date. Review and update contact, household, and eligibility information with DoHS.
•Report changes. Report changes in employment, income, or household circumstances through WV PATH.
•Complete required reviews. Complete Medicaid eligibility reviews and provide requested information by the stated deadlines.
•Learn about the new requirements. Visit wvmedicaidhelp.org to learn more about qualifying activities, exemptions, reporting requirements and important timelines.
Members can report changes, apply for benefits and complete eligibility reviews through WV PATH at www.wvpath.wv.gov.
For more information about the 2027 Medicaid eligibility changes, including who may be affected, qualifying activities, exemptions and what members need to do, visit wvmedicaidhelp.org or call the DoHS Customer Service Reporting Center at 1-877-716-1212.
