In July 2025, Republicans in Congress passed a bill that makes changes to the Medicaid program. President Trump signed that bill into law.
- Starting January 1, 2027, some adults ages 19-64 who are eligible for Medicaid will be required to complete a new application every six months instead of every year.
- Starting January 1, 2027, some adults ages 19-64 who do not have a dependent child under 14 years old must show that they are meeting work requirements. You will need to follow these new rules or report to PA DHS during application, or during renewal, or when you become eligible for Medicaid expansion between renewals. If you do not follow the new rules or report to PA DHS, you will lose your Medicaid coverage.
- Starting January 1, 2027, Medicaid will only provide retroactive coverage for medical expenses that occurred prior to the month of application. Currently, retroactive coverage can be approved for up to three months prior to the month of application for Medicaid. As of January 1, retroactive coverage windows will shorten to the following:
- One month for Medicaid expansion adults (age 19-64)
- Two months for all other Medicaid recipients
The Commonwealth has put together a list of Frequently Asked Questions which provides much more detailed information.
If you are a Medicaid recipient, you should log onto COMPASS to ensure your correct contact information is on file.
The PA DHS will send you information by mail, phone call, or text if the work requirements apply to you.
These new rules will affect many clients of Quatrini Law Group. We urge you to make yourself aware of these changes so you do not lose your much needed medical coverage.
