Starting in 2027, some Pennsylvania Medicaid recipients will face new work and community engagement requirements and more frequent eligibility reviews. Pennsylvania DHS says affected adults may need to show they are working, attending school, or participating in approved activities to maintain coverage.
Allegheny County officials estimate nearly 26,000 residents could lose Medicaid coverage because of new administrative requirements — even if they remain eligible.
Who Could Be Impacted?
Potentially affected residents include:
- Adults ages 19–64
- People who do not have dependent children under age 14
- People who fail to complete renewal paperwork
- Individuals who do not report qualifying work or activities
What Medicaid Recipients Should Do Now
Step 1
Do Not Ignore Letters From DHS
Important notices may arrive by mail, phone, or text. Families should:
- Open every letter
- Respond before deadlines
- Keep copies of submitted paperwork
Step 2
Document Your Eligibility
Keep records of:
- Pay stubs
- School schedules
- Job training
- Volunteer hours
- Medical exemptions
- Caregiving responsibilities
Step 3
Connect With Healthcare Providers
Ask your doctor's office, community health center, social worker, or health insurance navigator for help understanding changes.
Step 4
Do Not Wait Until a Medical Emergency
Loss of coverage can mean delays in:
- Prescriptions
- Preventive care
- Mental health services
- Chronic disease treatment
What Families Can Do Today
- Update your contact information with DHS
- Check your benefits before there is a problem
- Keep important paperwork together
- Ask questions early
- Reach out to community organizations for help
- Share this information with family members and neighbors