Renewals every 6 months are coming. Update your address now
Most adults will have to renew twice a year from December 31, 2026. A missed letter can mean lost coverage.
What is changing?
Until now, most Medicaid enrollees renewed their coverage once a year. Starting December 31, 2026, adults aged 19 to 64 on Medicaid expansion plans must renew every six months instead. This change is part of the same federal legislation that introduced work requirements.
Why does this matter?
The biggest risk is a missed renewal notice. If a letter goes to an old address and you don't respond, your state is required to end your coverage — even if you would otherwise still be eligible. Losing coverage means losing access to doctors and prescriptions until you re-enroll.
Log in to your state Medicaid portal or Benefits.gov and confirm your current mailing address and phone number. Many states also offer text or email renewal reminders — opt in if your state offers this.
Find your state Medicaid officeWhat does the renewal involve?
Your state will send a renewal packet by mail (and possibly by email if you have opted in). You need to confirm or update your information — income, household size, address. In many cases, states can renew you automatically using data from other agencies (tax records, SSA data). If they can do this, they will send a notice saying your coverage has been renewed and you don't need to do anything.
What if I miss a renewal?
You will receive a termination notice with a date your coverage ends. You have the right to appeal within 30 days and to a fair hearing. If you miss the appeal window you can reapply, but some states impose a waiting period before re-enrollment begins.
Who does not need to renew every 6 months?
Children, pregnant people, and adults in non-expansion states follow different schedules. Check with your state agency for the exact timeline that applies to your coverage category.