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Washington · Medicaid and SNAP

Washington Medicaid work requirements: the 80-hour rule

Who to contact in Washington

Who has to meet it

The rule applies to adults aged 19 to 64 covered through Medicaid expansion, unless you qualify for an exemption (below).

What counts toward the 80 hours

• Work
• School
• Job training
• Community service/volunteer

You can mix them. Twenty hours of work and sixty hours of volunteering is 80 hours.

How and when it is checked

Washington has not yet published how often it will check. Most states plan to check when your coverage comes up for renewal, every six months. We will update this page when Washington says.

The state must look at payroll and other records it already has before it asks you. If those records do not show your hours — common for gig work, self-employment, school and volunteering — you will be asked to prove them. That is why it pays to keep pay stubs, school schedules and volunteer letters from now on.

Who is exempt

Under federal law you do not have to meet the 80 hours if any of these is true:

• You are pregnant or recently gave birth.
• You are a parent or caretaker of a child aged 13 or younger.
• You care for someone with a disability.
• You are “medically frail” — this includes serious mental illness, substance use disorder, and physical or mental conditions that limit daily life.
• You receive SSI or SSDI disability benefits.
• You are a member of a federally recognized tribe or eligible for Indian Health Service care.
• You are in a substance use disorder treatment program.
• You already meet the SNAP or TANF work requirement.
• You are incarcerated, or were released in the last 90 days.
• You are a veteran with a total disability rating.

Being exempt is usually not automatic. You may have to tell the state, and show proof, before it counts.

SNAP has its own 80-hour rule — already in force

Since November 1, 2025, adults aged 18 to 64 without children under 14 at home must work, train or volunteer 80 hours a month to keep SNAP longer than 3 months in any 3 years.

• Parents of children 14 or older are no longer exempt.
• Veterans, people experiencing homelessness and former foster youth lost their exemption in 2025. This is the most common misunderstanding.
• Native Americans and people eligible for Indian Health Service care are now exempt at every age.

Good news: if you meet SNAP's 80 hours, that also counts for Medicaid. One log covers both.

What to do now

1. Check your mailing address at wahealthplanfinder.org. Many people who lose coverage under rules like this are still eligible — they miss a letter.
2. Find your renewal date. It is on your last renewal letter, or ask the state. That is when your hours get checked.
3. See if you are exempt using the list above. If you are, tell the state now rather than at renewal.
4. Start keeping proof today. Pay stubs, class schedules, signed volunteer hours. A photo on your phone is fine.
5. Open every letter from the state the day it arrives. Deadlines can be short.

Common questions

When does the Medicaid work requirement start in Washington?

Washington's rule starts on January 1, 2027, the national deadline. During 2027 the state may let you report your hours yourself; from January 1, 2028 you will need documents.

How many hours do I need for Medicaid in Washington?

80 hours a month of work, school, job training or community service, or a mix. Washington also accepts $580 a month in earnings instead.

Who do I call about Medicaid in Washington?

Call 855-923-4633. Or sign in online at https://www.wahealthplanfinder.org.

Do veterans have to meet the SNAP work requirement now?

Yes, unless another exemption applies. The 2025 law removed the exemption for veterans, people experiencing homelessness and former foster youth.

Sources

• kff.org/medicaid/medicaid-work-requirements-tracker-overview
• hca.wa.gov/free-or-low-cost-health-care/contact-washington-apple-health-medicaid
• hca.wa.gov/free-or-low-cost-health-care/i-need-medical-dental-or-vision-care/apple-health-medicaid-work-requirements
• propel.app/snap/snap-work-requirements-full-guide

Rules last checked September 14, 2026; phone and website last checked October 2, 2026. Rules are still changing. If something here is wrong, tell us and we will fix it fast.