More than 58,000 Indiana Healthy Indiana Plan (HIP) members may not meet new Medicaid work requirements taking effect January 1, 2027, according to the Indiana Family and Social Services Administration (FSSA).

Under the new rules, qualifying members ages 19 through 64 must complete at least 80 hours of approved activities each month, earn at least $580 monthly or attend school or an apprenticeship at least half time.

Approved activities include employment, volunteering, job training and work programs. Members can combine activities to meet the 80-hour requirement. Seasonal workers may qualify by averaging $580 in monthly earnings over the previous six months.

Several exemptions are available, including for parents or caregivers of children ages 13 or younger, people with qualifying medical conditions, certain veterans and individuals already meeting SNAP or TANF work requirements.

FSSA estimates more than 58,000 members may not currently meet the requirements or qualify for an exemption. That figure does not mean all those members will lose coverage.

The agency says it has notified more than 500,000 HIP members about the changes.

Although enforcement begins January 1, FSSA says January applicants must satisfy requirements for October, November and December 2026. The agency’s published guidance does not explain how that period applies to first-time applicants.

Members are encouraged to review their eligibility, check for exemptions and report qualifying activities through the state’s Benefits Portal at https://fssabenefits.in.gov/bp/#/.