08/05/2026
Maryland Medicaid is changing. Watch your mail.
A September letter may be coming.
Starting January 1, 2027, new federal rules take effect for some Maryland adults on Medicaid:
✔️ Renewals move from once a year to every 6 months
✔️ A monthly work or activity requirement
Who this affects: adults 19 to 64 in the ACA expansion group, around 300,000 Marylanders. If your Medicaid is based on disability, or you're covered while pregnant, these rules don't apply to you.
Many people already meet this through their job. You can qualify by completing 80 hours a month of work, volunteering, or job training, by attending school at least half time, or by earning at least $580 in a month. You only need one.
Some people are exempt. This includes many parents and caregivers, and people whose medical condition limits their ability to work. Don't assume you are, or that you aren't. Call and check.
⚠️ Even if you're exempt from the work requirement, you'll still renew every 6 months.
A letter may be coming. If the work requirement will apply to you, Maryland Health Connection will mail you a letter in September 2026. Do not throw it out.
When your letter arrives:
1️⃣ Open it the same day and respond by the date printed on it
2️⃣ Call your specialty pharmacy. A good one can answer questions and help you navigate the paperwork. Completing and returning it is still your responsibility.
3️⃣ Call your HTC and ask about a letter documenting your condition and any limits on your ability to work
Do this today: update your address, phone, and email. Maryland Health Connection: 1-855-642-8572. If you renew through the Department of Human Services, call 1-800-332-6347. Report income or household changes within 10 days.
Nationally, nearly 7 in 10 people who lost Medicaid in the last renewal wave lost it over paperwork, not because they no longer qualified. For our community, that gap can mean a gap in factor.
Don't sit back. Don't ignore your mail.
🔗 www.marylandhealthconnection.gov/checkin
~ Hemophilia Foundation of Maryland
We are always here to help - Contact us at [email protected] or call 410-661-2307.
Sources:
Maryland Department of Health, "Is My Medicaid Going to Change?" and "Renew Your Medicaid Coverage and Report Changes" (health.maryland.gov) | Maryland Health Connection, "Medicaid Check-In" (marylandhealthconnection.gov/checkin) | CMS, State Medicaid Director Letter #26-001, March 6, 2026 | CMS, Medicaid Community Engagement Requirement Interim Final Rule (CMS-2454-IFC), June 1, 2026 | KFF, Medicaid Enrollment and Unwinding Tracker