Medicaid Work Requirements in Nevada
Nevada's new rules take effect January 1, 2027. Current members must show they met the requirement in at least one month of the review period before their 2027 renewal. Nevada has a free online guide (Nevada DIG) to see whether the rule applies to you.
Check your situation in Nevada
When it starts in Nevada
- September 2026: member notices began by mail or electronically, plus phone, text, or online message.
- January 1, 2027: the rules and 6-month renewals take effect.
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. Nevada was one of the parties that sued, so the court also gave Nevada 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 Nevada checks and how to report
Months checked: At least one month of the review period before your 2027 renewal. Applicants must meet it to enroll.
At renewal you show you met the rule. Update information through Access Nevada, use the Division of Social Services report-a-change form, or call or visit a district office.
Other things to know in Nevada
- Nevada Medicaid says it hired a vendor to review reliable data sources to verify exemptions and work activities so members do not have to.
- Nevada is building a tool to help members explain health needs and check exemptions.
Official tools and contacts
- Check if it applies: Nevada DIG (Digital Interactive Guide)
- Report and upload: Access Nevada
- Work requirements hotline (south): 702-631-3310
- Work requirements hotline (north): 775-824-7410
- Division of Social Services (toll-free): 1-800-992-0900
- Nevada Medicaid: work requirements
- Does this apply to me?
- DSS: Medicaid eligibility rules are changing
- Agency: Nevada Health Authority (Nevada Medicaid) and Division of Social Services
Federal protections that apply in Nevada
- 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 Nevada?
January 1, 2027. Current members are usually checked at their first renewal on or after that date.
How many months does Nevada check?
At least one month of the review period before your 2027 renewal. Applicants must meet it to enroll.
How do I report my hours or an exemption in Nevada?
At renewal you show you met the rule. Update information through Access Nevada, use the Division of Social Services report-a-change form, or call or visit a district office.
Who do I call about Nevada Medicaid work requirements?
Work requirements hotline (south): 702-631-3310
Work requirements hotline (north): 775-824-7410
Division of Social Services (toll-free): 1-800-992-0900
Can I lose Nevada Medicaid 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
- Nevada Medicaid: work requirements
- Nevada Medicaid: new requirements
- Nevada Medicaid: verifying compliance
- Nevada DSS: Medicaid eligibility rules are changing
- Public Law 119-21 (H.R. 1), sec. 71119: community engagement requirement (GovInfo)
- CMS interim final rule, Medicaid community engagement requirement, 91 FR 33348 (June 3, 2026)
- Massachusetts v. Oz, No. 1:26-cv-12962-RGS (D. Mass.), memorandum and order (Oct. 29, 2026)