Medicaid Work Requirements in Arizona

Starting January 1, 2027, some AHCCCS adults ages 19 to 64 must meet the work requirement and will renew every 6 months. AHCCCS runs an official site, KeepMyAHCCCS.com, with a short screener.

Updated October 30, 2026 · Based on official sources listed below · How we research · Leer en español

Jan 1, 2027

Start date

80 hrs or $580

per month, or half-time school

AHCCCS adult group

Adults 19 to 64 in this program

1-855-220-0903

KeepMyAHCCCS help line (Mon–Fri, 7 a.m.–6 p.m.)

Check your situation in Arizona

When it starts in Arizona

September 2026: AHCCCS sent a letter to all members and launched KeepMyAHCCCS.com.
Members who renew in 2026 keep 12-month renewals until their 2027 renewal.
January 1, 2027: the requirement and 6-month renewals begin for affected adults.

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.

Court ruling, October 29, 2026. In Massachusetts v. Oz, a federal court struck down the CMS rule's extra "significantly impairs" test for the medically frail exemption. If you are in any of the five medically frail groups in the law, you qualify. Arizona was one of the parties that sued, so the court also gave Arizona six months of relief from federal enforcement of its medically frail decisions while it updates its systems. The January 1, 2027 start date did not change, and CMS may appeal. What the ruling means.

How Arizona checks and how to report

Months checked: At your first renewal in 2027, AHCCCS will check the information it already has for your income, activities, or an exemption.

AHCCCS says it is still building the reporting process. Do not send documents unless AHCCCS asks. If AHCCCS asks for information, you have 35 days to answer. If coverage would end, you get a notice and 30 more days to show you meet the rule. Keep your contact details current in Health-e-Arizona Plus.

Other things to know in Arizona

You meet the rule with $580 a month in income or 80 hours a month of approved activities.
Exempt groups named by AHCCCS include American Indian and Alaska Native members, pregnant people, caregivers of a child 13 or younger or of a person with a disability, and people who are medically frail.
Arizona had an earlier waiver, "AHCCCS Works," approved in 2019. Federal approval was withdrawn in 2021 before it took effect. The federal law now replaces it.

Official tools and contacts

Check if it applies: KeepMyAHCCCS screener
Report and upload: Health-e-Arizona Plus
KeepMyAHCCCS help line (Mon–Fri, 7 a.m.–6 p.m.): 1-855-220-0903
KeepMyAHCCCS.com (official AHCCCS site)
AHCCCS H.R. 1 page
Agency: AHCCCS

Federal protections that apply in Arizona

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.

Frequently asked questions

When do Medicaid work requirements start in Arizona?

January 1, 2027. Current members are usually checked at their first renewal on or after that date.

How many months does Arizona check?

At your first renewal in 2027, AHCCCS will check the information it already has for your income, activities, or an exemption.

How do I report my hours or an exemption in Arizona?

Who do I call about AHCCCS adult group work requirements?

KeepMyAHCCCS help line (Mon–Fri, 7 a.m.–6 p.m.): 1-855-220-0903

Can I lose AHCCCS adult group right away if I don't meet the requirement?

No. Federal law requires a notice, at least 30 days to show you comply or are exempt, continued coverage during that time, and fair hearing rights before coverage ends.