Up to 300,000 Indiana Medicaid expansion adults may face new 80‑hour monthly work‑reporting rule, raising administrative demands

Indiana plans to begin enforcing work requirements for certain Medicaid expansion recipients on Jan. 1, 2027, and officials told the Medicaid Advisory Committee that as many as 200,000 to 300,000 people could remain subject to the rule after exemptions. Anyone applying for or renewing coverage in January must show 80 hours of qualifying activity in each of the three prior months: October, November and December.

Lawmakers and providers flagged unanswered questions about how the state will determine medical frailty, document fluctuating conditions and accept proof of volunteer or training hours. FSSA said paper reporting will be accepted though an online reporting system is not finished, compliance checks will occur quarterly and full eligibility redeterminations will move to every six months. The agency is also seeking federal approval for a broader HIP 3.0 waiver.

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