Know your coverage
Indiana Medicaid is changing.
MO HealthNet requirements are changing. This page explains what’s happening, when it affects you, and what you need to do now to keep your coverage.
70,000+
Residents in St. Louis City and County in Medicaid Adult Expansion Group
80 hrs/mo
Proof required starting Jan 2027
2× per year
New renewal frequency under HR 1
TAKE ACTION
What you need to do right now
WHAT’S CHANGING
Indiana Medicaid changes you need to know
Missouri is now implementing federal HR 1 requirements. Here is what’s happening and when.
NOW IN EFFECT
Biannual Eligibility Renewals
Instead of renewing once a year, adults between the ages of 19 and 64 who fall into the Adult Expansion Group (AEG) will have to renew their coverage every 6 months.
Source: Indiana SB 1 · Georgetown CCF, 2026
OCT 2026
Immigration Status Verification
New immigration verification requirements expand for Medicaid and SNAP. Most refugees and asylum seekers will become ineligible for SNAP and MO HealthNet in October 2026 under federal law.
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STARTING JAN 2027
Work / Volunteer Requirements
Adults ages 19–64 on the on MO HealthNet must document 80 hours per month of qualifying work, school, job training, or volunteering. Many exemptions apply.
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Families navigating coverage changes together
In-home care supported by Medicaid coverage
GET HELP
Talk to a partnered navigator
These partner organizations offer free, confidential help connecting you with a navigator to understand your coverage.
THE 80-HOUR RULE
What counts as work for Medicaid?
Starting in January 2027, MO HealthNet enrollees in the Adult Expansion Group must document 80 hours per month of qualifying activity. Here is what counts — and who is automatically exempt.
ACTIVITIES THAT COUNT
You can combine activities to reach 80 hours — for example, part-time work plus volunteering both count toward your monthly total.
ACTIVITIES THAT COUNT
WHO IS EXEMPT
KEY DATES
What’s happening and when
Missing a deadline can mean losing your coverage — even if you’re still eligible. Mark these dates.
OCTOBER 2026
Immigration Verification Changes
Expanded rules restrict access for certain immigration statuses. Contact a navigator if this may affect you.
DECEMBER 2026
Federal 6-Month Checks Begin
Federal eligibility verification every 6 months begins. Missouri is actively preparing for this change.
JANUARY 2027
Work Requirements Start
80 hrs/month required for MO HealthNet Adult Expansion Group enrollees 19–64. Indiana verifies quarterly. Start documenting your hours now.
EXEMPTIONS
You may not need to meet the work requirement
Many people are automatically exempt from the 80-hour work requirement. If any of the situations below describe you, you likely do not need to comply — but you should still verify your status and keep your contact information updated with FSD.
Parent of Child 13 or Under
Caregiving for a dependent child age 13 or under is recognized as an exemption
Medically Frail
Serious mental illness, physical or developmental disability, or chronic substance use disorder
Pregnant
Pregnant individuals are exempt from the work requirement during pregnancy
Age 65 or Older
Adults 65 and older are not subject to HIP work requirements
In Treatment or School
Active substance use treatment programs and vocational education count toward the requirement
Foster Youth
Foster youth or former foster youth under age 26 are exempt from the work requirement
Tribal Members
Members of a federally recognized Tribe are exempt from HIP work requirements
Disability Caregiver
Those caring for a person with a disability — not just children — may qualify for an exemption
Veteran with 100% Disability
Veterans rated at 100% disability are exempt from the 80-hour monthly work requirement
Already Meeting SNAP/TANF Rules
If you are already complying with SNAP or TANF work requirements, you satisfy HIP’s work requirement too
Not Sure?
Contact a partnered navigator — they review your specific situation for free
HELPFUL LINKS
Official resources
Stay informed through MyFSD: The Missouri Family Support Division (FSD) keeps its official information updated at my.mo.gov/fsdbenefits. Visit this page to check your coverage status, review benefit changes, update your information, and access the latest Medicaid guidance directly from the state.
COVERAGE & BENEFITS
FSD Benefits Portal
Apply for or renew Medicaid, check your status, update your address
Missouri DSS HR 1 Implementation Hub
Missouri is maintaining a central resource of HR 1-related information and resources
Healthcare.gov
Federal coverage marketplace, – alternative options if you lose Medicaid
EDUCATION OPPORTUNITIES
FSSA Benefits Portal
Apply for or renew Medicaid, check your status, update your address
FSSA Benefits Portal
Apply for or renew Medicaid, check your status, update your address
FSSA Benefits Portal
Apply for or renew Medicaid, check your status, update your address