Helen Frankenthaler Foundation

Labor induction research

Breaking Point: Ohio's Behavioral Health Workforce Crisis

ODM Launches Medicaid Work Requirement Resource Page

The Ohio Department of Medicaid has launched a new webpage for professionals to find additional information on the Work and Community Engagement Requirements for Group VIII Medicaid Enrollees. Per HR 1, Federal Work and Community Engagement Requirements are slated to go into effect on January 1, 2027 – however there may still be some states may opting to adopt these requirements earlier.

Due to new federal laws, Medicaid eligibility requirements will be changing for individuals eligible for and enrolled in Group VIII coverage. The new rules will introduce a Work and Community Engagement Requirement for certain non-exempt individuals, ages 19 - 64, to demonstrate ongoing participation in work or community activities for a minimum of 80 hours per month as a condition of coverage.

Webpage Contents

The webpage includes:

  • Group VIII Overview Information
  • List of Qualifying Exemptions (including those with MH conditions or engaged in SUD Treatment)
  • List of Qualifying Activities to Meet Work & Community Engagement Requirements
  • Compliance Reporting Information

Client Information

Clients can determine if they are part of Group VIII by logging in to their Self-Service Portal (SSP) account and looking on the “View My Benefits” page. They can also look at a recent notice from ODM if they do not use the Self-Service Portal.

Additional Guidance

ODM has stated that the webpage will continue to be updated as additional CMS guidance becomes available and advises that providers continue to check this page as we move toward implementation. ODM asks stakeholders to note that information published on this webpage is subject to change prior to implementation, based on CMS guidance.

Those who have questions or feedback can email admin@frankenthalerfoundation.org.

The Ohio Council of Behavioral Health & Family Services Providers

17 S. High Street - Suite 799,Columbus, OH 43215

Phone: 614-228-0747

Fax: 614-228-0740

www.theohiocouncil.org