West Virginia Bureau for Medical Services · August 27, 2026 · Primary source
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Summary
The West Virginia Department of Human Services announced that, beginning January 1, 2027, certain adults ages 19-64 enrolled in the Medicaid Adult Expansion Group will be required to complete 80 hours per month of qualifying activities, including employment, work program participation, or education, to maintain Medicaid coverage. The agency is directing members to take preparatory steps now, ahead of the 2027 effective date.
What this may mean
The Medicaid work requirement applies to the Adult Expansion Group in West Virginia and takes effect January 1, 2027, with non-compliant members facing loss of coverage. Providers and managed care plans serving this population face potential enrollment reductions and associated changes in covered-lives counts and capitation payments beginning in 2027.
Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.
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