Medicaid Work Requirements in Minnesota

Starting January 1, 2027, some adults with Medical Assistance must meet the requirement. Minnesota DHS says it applies to adults ages 21 to 64, and about 243,000 enrollees are affected. Minnesota's Renewal Lookup Tool lets you check now.

Updated · Based on official sources listed below · How we research

Jan 1, 2027
Start date
80 hrs or $580
per month, or half-time school
Medical Assistance
Medical Assistance adults without dependent children
Health Care Consumer Support

Check your situation in Minnesota

When it starts in Minnesota

Who has to meet it

The rule applies to people ages 21 to 64 on Medical Assistance who have no dependent children and are not covered because of a disability, 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. Minnesota was one of the parties that sued, so the court also gave Minnesota 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 Minnesota checks and how to report

Months checked: One qualifying month since your last Medical Assistance renewal (for example 80 hours, $580 in income, or half-time school in one month).

Use the Renewal Lookup Tool to see whether the rule will apply to you and to tell DHS how you expect to qualify. DHS says this will not affect your current coverage. Report other changes to your county or Tribal agency. Watch for the renewal envelope with a blue circle.

Other things to know in Minnesota

Official tools and contacts

Federal protections that apply in Minnesota

Frequently asked questions

When do Medicaid work requirements start in Minnesota?

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

How many months does Minnesota check?

One qualifying month since your last Medical Assistance renewal (for example 80 hours, $580 in income, or half-time school in one month).

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

Use the Renewal Lookup Tool to see whether the rule will apply to you and to tell DHS how you expect to qualify. DHS says this will not affect your current coverage. Report other changes to your county or Tribal agency. Watch for the renewal envelope with a blue circle.

Who do I call about Medical Assistance work requirements?

Health Care Consumer Support: 1-800-657-3672
Health Care Consumer Support (local): 651-297-3862

Can I lose Medical Assistance 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.

Sources

  1. Minnesota DHS: work requirements
  2. Minnesota DHS news bulletin (Sept. 2026)
  3. MPR News (Aug. 6, 2026)
  4. Minnesota DHS: contact information
  5. Public Law 119-21 (H.R. 1), sec. 71119: community engagement requirement (GovInfo)
  6. CMS interim final rule, Medicaid community engagement requirement, 91 FR 33348 (June 3, 2026)
  7. Massachusetts v. Oz, No. 1:26-cv-12962-RGS (D. Mass.), memorandum and order (Oct. 29, 2026)