Montana plans July 1 rollout for Medicaid work requirements

Montana will implement Medicaid work requirements starting July 1, 2026, requiring able-bodied adults without dependents to meet monthly work or community engagement hours to maintain coverage. This follows Nebraska's implementation last week, part of a broader state-level shift enabled by federal policy. Practices in Montana serving Medicaid populations must prepare for potential coverage terminations and increased patient inquiries about eligibility. Front-office staff should verify Medicaid member status more frequently starting in July and be ready to direct patients to state resources for reporting compliance.