changes are coming to nevada medicaid

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What is changing?

Starting January 1, 2027, some adults will need to take action to keep their Medicaid coverage. The changes apply to Adult Expansion Group members ages 19 to 64.

  • Work requirement: New applicants and members renewing coverage may have to show they completed 80 hours of approved activities during one month before their renewal date. Work, job training, volunteering, school, or a combination of approved activities all count.
  • More frequent renewals: The review period for renewal (redetermination) will change from every 12 months to every 6 months.

You should know …

Only Nevada Medicaid can determine an individual’s eligibility for enrollment. Vitality Unlimited can provide information but cannot determine your eligibility or if you qualify for an available exclusion or exception or if you must meet the community engagement requirements.

Protect Your Coverage. Take Action Now.

Verify Your Contact Info

Nevada Medicaid will send notifications to members who may be out of compliance with the new regulations. They will have a limited time to reply. Missing a notification could result in disenrollment.

Update My Address

Know Your Renewal Date

Knowing your renewal date can help you prepare. Exclusions or exceptions that apply to you may need documentation. If work requirements apply to you, you will have time to make arrangements.

My Medicaid Login

Talk With Us

Vitality Unlimited has staff who can help verify your contact information, find your renewal date, access Nevada Medicaid’s online portal, or connect you to work, training, education, or volunteer resources.

Find a Vitality Location

Exclusions

People in certain categories are considered Specified Excluded Individuals and will not have to meet the community engagement requirements. These include individuals who:

  • Are parents, guardians, or family caregivers of a child under 14
  • Are parents, guardians, or family caregivers of someone with a disability who needs help with daily activities (like bathing, dressing, or daily chores)
  • Are a Nevada Medicaid member who is or was pregnant in the past 12 months
  • Are young adults who were in foster care (up to age 26)
  • Are veterans with a total disability
  • Are American Indian or Alaska Native
  • Are currently incarcerated
  • Already meet work requirements for SNAP (food assistance) or TANF (NEON) (cash assistance)
  • Are receiving treatment for a drug or alcohol use disorder (does not include self-help or support programs like AA, NA, faith-based or other social-based support programs)
  • Have a serious physical health condition, mental health condition, substance use disorder, or disability that prevents them from working, volunteering, or going to school

Exceptions

Exceptions may be available if any of these applied during the month before the Medicaid application, or during at least one month since the last Medicaid renewal:

  • They were under 19 years of age
  • They were entitled to or enrolled in Medicare
  • They were in jail or prison at any time during the three months before the month being reviewed
  • They met a specified excluded status in one month of their lookback period
  • They were living in an area affected by a federally declared disaster or emergency
  • The were living in a county with high unemployment

Exceptions for Temporary Hardship

  • Exceptions may be available in some circumstances. The member:
    • Stayed in a hospital, nursing facility, or psychiatric hospital or received follow-up care, or received intensive medical or behavioral health care services (includes intensive outpatient programs)
    • Must travel outside their community for 3 or more days to receive medical care for themselves or a dependent (70 minutes or 60 miles.) DSS Medicaid Work, School, and Volunteer Requirements Screening and Attestation Form
Learn More About the New Requirements.

Community Engagement Resources

Employment/Job Training Resources:
Vitality Unlimited Employment Resource Directory

Education Resources:
Vitality Unlimited Educational Resource Directory

Volunteering Resources:
Vitality Unlimited Northern Nevada Volunteer Resource Directory
Vitality Unlimited Rural Nevada Volunteer Resource Directory
Vitality Unlimited Southern Nevada Volunteer Resource Directory
Vitality Unlimited Statewide Volunteer Resource directory