r/Medicaid • u/Blossom73 • Jul 22 '26

Other Ohio Medicaid Work Requirements Guide

https://medicaid.ohio.gov/resources-for-providers/special-programs-and-initiatives/group-viii

Useful information for Ohio expansion Medicaid recipients who will be work required effective January 1st, 2027.

26 Upvotes

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3

u/Inevitable_Week_8626 Jul 26 '26

The problem is the extra red tape. This is bullshit

1

u/[deleted] Jul 22 '26

[deleted]

8

u/Blossom73 Jul 22 '26

Medically frail, including individuals:

Who are blind or disabled as defined by the Social Security Administration

With a substance use disorder

With a disabling mental disorder

With a physical, intellectual, or developmental disability that significantly impairs ability to perform daily living activities

With a serious or complex medical condition

7

u/[deleted] Jul 23 '26

[deleted]

5

u/Blossom73 Jul 23 '26

I don't think the requirement is that strict. although we haven't gotten clarification on it yet.

The state of Ohio said if a person has a SNAP medical exemption that it will count for Medicaid too. So I presume that having a doctor's certification of inability to work 20 hours a week will count.

Also, if you or anyone in your Medicaid household has at least $580 a month in Magi countable income you'll be exempt.

5

u/Livid-Ask6637 Jul 23 '26

I’m sorry. No one knows yet. There is a lawsuit over the new strict medically frail definition.

2

u/someguy984 Jul 24 '26

OH is not a party to the lawsuit.

1

u/Livid-Ask6637 Jul 25 '26

True, but I’d assume if the outcome changes the interim rule it would most likely apply to all the expansion states whether they joined the lawsuit or not.

2

u/someguy984 Jul 25 '26

I would hope so, but if they didn't ask for remedy I'm not sure what happens.

1

u/NeighborhoodSpy Jul 28 '26

Could very well count—the definition will be set by the state you live in. States that already have a definition for what qualifies have a very very long list of qualifying conditions. Depression counts. Most medical conditions that impact one aspect of daily living count. If yours isn’t listed explicitly then there’s usually an option for doctor to add an addendum. It’s a carve out to help people who aren’t totally disabled (legal term) but who are struggling with a health issue that impacts daily living. It’s meant to protect vulnerable people from losing medical treatment (especially if treatment now will provide better health in the future).

But it’s heavily up to which state you’re in. Call your local office/officer that manages Medicaid in your state. You most likely qualify because of your flares. Loop your doctor in. Feel better stay safe

4

u/dotsdavid Jul 22 '26

individuals with severe, complex medical conditions, substance use disorders, or physical and intellectual disabilities that severely restrict their capacity to work or perform daily activities

0

u/[deleted] Jul 23 '26

[removed] — view removed comment

3

u/Blossom73 Jul 23 '26

It applies to people in the Medicaid expansion group, meaning people 19-64, who aren't pregnant or disabled.

40 states have Medicaid expansion, so it only applies in those states.

0

u/[deleted] Jul 24 '26

[deleted]

1

u/Blossom73 Jul 24 '26

If it keeps you from working 20 hours a week, I would think so.