Medicaid Work Requirements in Alaska

Check your situation in Alaska

When it starts in Alaska

• The state Department of Health FAQ lists January 1, 2027 as the current federal start date and says Alaska has asked for more time.
• A Department of Health overview filed with the Legislature says the state may phase the rule in through 2028 if it gets a federal good-faith exemption.

Who has to meet it

The rule applies to people ages 19 to 64 in the Medicaid adult expansion group, unless they are pregnant, have Medicare, or are exempt. You meet it in a month with 80 hours of work, community service, a work program, or school (in any mix), by going to school at least half-time, or with at least $580 in monthly income.

You are exempt if, for example, you care for a child 13 or younger or a person with a disability, are pregnant or postpartum, are American Indian or Alaska Native, are medically frail, are a veteran with a total (100%) VA disability rating or TDIU, were in foster care at 18 and are under 26, are in drug or alcohol treatment, meet SNAP or TANF work rules, or left jail or prison in the last 3 months. See the full exemption list.

How Alaska checks and how to report

Months checked: Alaska has not published how many months it will check.

Alaska has not yet published how members will report hours. For now, keep your address and phone number current with the Division of Public Assistance so you get notices, and keep pay stubs or other proof of your hours.

Other things to know in Alaska

• State modeling released in February 2026 counted more than 61,000 expansion adults ages 19 to 64. About 19,000 of them were expected to need to report hours or ask for an exemption, and 9,400 to 13,600 could lose coverage (Anchorage Daily News report on the state model).
• The state lists Alaska Native and American Indian people, people who are medically frail, and caregivers of young children among those who are exempt.

Official tools and contacts

• Division of Public Assistance Virtual Contact Center: 1-800-478-7778
• Alaska work and community engagement requirements
• Agency: Alaska Department of Health, Division of Public Assistance

Federal protections that apply in Alaska

• The state must check its own records before asking you for proof.
• If it can't confirm you meet the rule, you get a notice and at least 30 days to respond, and your coverage continues meanwhile.
• You get written notice and the right to a fair hearing before coverage ends, and you can reapply at any time.
• If you lose Medicaid for not meeting the rule, you cannot get marketplace premium tax credits for those months. Learn more.