Nevada Medicaid Work Requirements: What You Need to Do Before Your 2027 Renewal

The new Nevada Medicaid work requirements apply to certain adults ages 19–64 in the Medicaid expansion population. You must show 80 hours of qualifying activity in a review month, or at least $580 of countable income in a review month.

Verified August 20, 2026 against Nevada Medicaid published guidance. Benefits and rules change — confirm with your plan.

Not sure if this applies to you? Call/Text 725-214-1433 and we'll walk through it with you. Free, no obligation.

Call/Text 725-214-1433

The requirement

80 hours in a review month of qualifying activity, OR at least $580 of countable income in a review month.

Qualifying activities

Employment
School at least part-time
Job training or apprenticeship
Self-employment earning $580 or more
Community service of 80 hours
Seasonal work averaging $580 a month over a six-month season

Activities can be COMBINED. The state's own example: 40 hours of work plus 40 hours of volunteering counts.

Current members must show they met the requirement during at least one month of the review period BEFORE their 2027 renewal date.

Who does NOT have to meet this

The state calls these Specified Excluded Individuals.

Parent, guardian, or family caregiver of a child under 14
Caregiver of a person with a disability who needs help with daily living activities
A veteran with a total disability rating
American Indian or Alaska Native
Currently incarcerated
Already meeting SNAP or TANF (NEON) work requirements
Receiving treatment for a drug or alcohol use disorder
A serious physical or mental health condition, substance use disorder, or disability that prevents work, volunteering, or school

Exceptions

Under 19
Entitled to or enrolled in Medicare
Incarcerated at any time in the three months before the review month
Met an excluded status in a lookback month
A temporary hardship

Temporary hardships are:

Staying in a hospital, nursing facility, or psychiatric hospital
Having to travel outside your community for medical care for yourself or a dependent

Renewals change to every 6 months

For renewals starting January 1, 2027, renewals change to every 6 months. Today it is once a year.

New copays for some expansion enrollees

Amounts are still pending federal guidance and a state decision, and they apply to services received starting October 2028.

Frequently asked questions

Do I have to do anything right now?

Yes. Current members must show they met the requirement during at least one month of the review period BEFORE their 2027 renewal date.

What if I work some months and not others?

The requirement is measured by review month: 80 hours of qualifying activity in a review month, or at least $580 of countable income in a review month. Seasonal work counts if it averages $580 a month over a six-month season.

Does volunteering count?

Yes. Community service of 80 hours is a qualifying activity, and activities can be combined. The state's own example: 40 hours of work plus 40 hours of volunteering counts.

I'm caring for my mom — am I excluded?

The state lists a caregiver of a person with a disability who needs help with daily living activities among the excluded individuals. If that describes you, check the state's excluded list or call/text and we'll go through it with you.

What happens if I don't meet the requirement?

The requirement applies to certain adults ages 19–64 in the Medicaid expansion population, and you must show a qualifying month before your 2027 renewal. If you're unsure where you stand, call/text before your renewal date.

Where do I report my hours?

The state has not published a final reporting process yet. Check the official Nevada Medicaid page for updates, or call/text 725-214-1433 and we'll pass along what the state publishes.

Official state pages

Next step: free benefit activation help.

Not sure if this applies to you? Call/Text 725-214-1433 and we'll walk through it with you. Free, no obligation.

Call/Text 725-214-1433