State Policy · CO
Colorado Implements 80-Hour Monthly Work Requirement for 377,000 Medicaid Enrollees
Colorado has mailed notices to 377,000 Medicaid enrollees informing them of new work requirements to maintain coverage. Beneficiaries must document at least 80 hours of work per month to remain eligible. The state Medicaid agency is implementing the requirement following federal approval. The policy affects non-elderly, non-disabled adult enrollees and represents one of the largest work requirement implementations since CMS authorized states to pursue such waivers.
Why it mattersThis implementation will require Colorado's Medicaid managed care plans to coordinate member outreach, verify work documentation, process eligibility redeterminations, and manage disenrollments for non-compliant members — directly affecting enrollment projections, revenue, and care management workloads.