Information for American Indians and Alaska Natives (AI/AN)

Starting January 1, 2027, a new federal law, H.R. 1 (OBBBA), says that certain adults must work or do community activities for 80 hours each month to keep their Medicaid. Some adults will also be required to complete an eligibility review (renewal) every 6 months, instead of every 12 months.

If you are American Indian or Alaska Native (AI/AN) with a verified Federal Indian status, AI/AN status, or tribal enrollment, you are excluded from these changes. You do not have to do these work and community activities and will have a review every 12 months.

If your Federal Indian status or AI/AN status has not been verified, you may have to complete the community engagement requirement each month to keep your Medicaid.

How to get your exclusion:

To make sure you are excluded from these changes, you will need to turn in your verification to the Department of Workforce Services (DWS). Send DWS a copy of one of these items for each person in your home who holds this status:

• Tribal ID card: Your tribal identification/enrollment card or number.
• CDIB paper: A "Certificate of Degree of Indian Blood" signed by the Bureau of Indian Affairs (BIA).
• IHS Face Sheet: A medical record certified by IHS as being from their original records. It must show your name and date of birth.
• Tribal court document: A tribal court document containing identifying information, such as name and the date of birth.
• Descendent: Any of the above documents showing Federal Indian status, AI/AN status, or tribal membership through a parent or grandparent. You must provide a birth certificate or court document that shows how you are related to them.

Where to send your verification:

Write your name and case number on every page you turn in. You can send your papers by mail or by fax to:

• Mail: Department of Workforce Services
               Imaging Operations
               P.O. Box 143245
               Salt Lake City, UT  84114-3245
• Fax: Toll-Free: 1-877-313-4717
  Local: 801-526-9500

You must turn in your verification by January 1, 2027 to be excluded from this new rule.