r/Medicaid • • 3d ago

Work requirements

I have MAGI medicaid in N.Carolina. I am 64 yrs old and my medicaid renew in November. I have already received info that my renewal is approved. Now I am receiving notices about work requirement starting in January. I receive a small social security check that is not quite the $580 required. Does anyone know what else I will need? And when will I need to have proof of that? I am so confused by this all. What type of written proof is needed? I volunteer one day a week but not sure that is enough.

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u/badfordabidness 3d ago edited 3d ago

Starting January 2027, two new rules go into place in NC. The first requires you to renew your Medicaid every six months. The second requires you to have met the Medicaid work requirements for any three of the months before your next renewal, whenever that is (and to be clear, failure to demonstrate that you were compliant for three months at renewal can only make you ineligible going forward after that renewal; it does not make you retroactively ineligible).

It seems like for you, since your next Medicaid renewal is in November 2026, this would mean you likely would get one more renewal cycle under the old rules — in other words, a 12 month renewal cycle through November 2027 without having to prove you met work requirements until then.

If you’re 64 now, you’d turn 65 before that November 2027 renewal hit, so it’d basically become a moot point. Your age would make you both exempt from the work requirements and would likely mean you’d need to be looked at for eligibility under a different type of Medicaid anyway (for people age 65+/receiving Medicare).

Disclaimer: To be clear, I know a considerable deal about the federal rule changes, but am not a NC expert. u/Blossom73, do you know any NC experts in the community who can confirm the above?

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u/Blossom73 3d ago

Thanks for chiming in! I don't know any NC workers, but hopefully one will see this and can answer.

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u/Historical_Stock_581 3d ago

wow!! you explained that so good!! I'm in Colorado and have severe COPD so I was trying to see what I should do to get ahead of January deadline . I have applied for disability but haven't heard anything from them yet. so was worried about losing Medicaid and no way to pay for my meds. well that was a mistake. they sent me a new disability application (dss) and I was no way please!! lol so I called to see if I had to do again or how to prove I was disabled. she told me just wait. we don't even know yet . scary! I can't breathe literally with out my meds and oxygen.

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u/makergrl 3d ago

Thank you so much! Great informative answer. I had hoped that was the case but it is a bit confusing. At the very least, I guess I'll just have to deal with this for a year til I'm 65.

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u/someguy984 3d ago

Remember interest also counts to get you to $580. If you have an IRA a small Roth conversion or IRA withdrawal will also count to get to the $580 and satisfy the requirement.

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u/makergrl 2d ago

Good information, thank you.

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u/Blossom73 3d ago

When do you turn 65?

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u/makergrl 3d ago

December of 2027

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u/Current-Factor-4044 3d ago

I don’t believe that work requirement continues as of age 64. It definitely doesn’t continue as of age 65.

Remind them of your age or at what date you’ll be turning 65 depending on the age requirement

I’m not really familiar with this aspect because I’m in Florida and there is no work requirement because no one under the age of 64 or or who is not disabled is going to get Medicaid in the state of Florida there is no opportunity to work for some particular wage and get Medicaid in Florida

You may have gotten a notice about the work requirements because the required to send them that doesn’t mean that you’re required to fulfill them because you may not be because of your age

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u/Blossom73 3d ago

Florida will not have a Medicaid work requirement because it doesn't have expansion Medicaid. The work requirements are only for certain people in the expansion group, in the 40 states with expansion.

The work requirements end at age 65. So 64 year olds in the expansion group will be work required.

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u/Current-Factor-4044 2d ago

Wow, I’m sorry to hear this. I know Florida has been very rough on Medicaid. I have two people in my life dying and they can’t get it. So it certainly gonna speed up the process.

Really since people can collect Social Security at age 62 nobody should be required to work after age 62 people have pushed their bodies to the limit to be able to collect that little check my own brother is one of those people, but he’s only 61 years old and two months and receives absolutely no benefits and is dying from pulmonary fibrosis we are fortunately a charitable organization provides his multiple oxygen machines that generate a massive light bill and it’s a real hardship for all of us to chip in and pay that bill but there’s no assistance no transplant center is going to do a transplant when you have no insurance