Indiana begins enforcing federal Medicaid work rules on January 1, 2027, but a three-month lookback means the hours that count start adding up next month.
Hoosiers who plan to apply for Medicaid coverage through the Healthy Indiana Plan (HIP) in January 2027 will need to meet the program's new work requirements for October, November, and December of this year. The Indiana Family and Social Services Administration (FSSA) outlines the rules on its HIP work requirements page, which says they apply to new applications and renewals starting on or after January 1, 2027.