National Council of Urban Indian Health
712 H St NE
#5030
Washington, DC 20002-3627
Phone: 202.544.0344
Medicaid Changes and AI/AN Protections:
States are implementing new Medicaid requirements that may affect eligibility, renewals, and program participation. Federal law includes important protections for many American Indian and Alaska Native (AI/AN) individuals. NCUIH developed the following resources to help providers, health care organizations, patients, and community members understand these changes and respond to implementation challenges.
Understanding the Changes
Medicaid Is Changing
Start here.
A quick-reference overview of new Medicaid work requirements, more frequent eligibility reviews, cost-sharing changes, and protections available to many American Indian and Alaska Native individuals.
H.R. 1 Provisions Impacting American Indian and Alaska Native People
Learn about key provisions affecting American Indian and Alaska Native people under H.R. 1, including Medicaid work requirement exemptions, Medicaid renewal protections, SNAP work requirement exemptions, and other protections.
Resources for Clinics, Health Care Providers, and Organizations Serving AI/AN Patients
Protecting Medicaid Coverage for American Indian and Alaska Native Patients: Implementation Guide
A practical guide for Urban Indian Organizations. Other organizations serving AI/AN patients, including Tribal health programs, hospitals, health centers, enrollment assisters, and patient navigators, may also find this resource helpful.
The guide includes recommendations for preparing staff, establishing response procedures, and helping patients who receive Medicaid work requirement or renewal notices.
Patient Information and Outreach Materials
Got a Medicaid Work Requirement or Renewal Notice?
A printable one-page handout explaining what patients should do after receiving a Medicaid work requirement or renewal notice and how to determine whether federal AI/AN protections may apply.
Organizations may use this resource to:
- Share directly with patients
- Post in waiting rooms and reception areas
- Display in enrollment offices
- Include in patient packets
- Distribute at outreach and enrollment events
Why This Matters
Impact of Medicaid on Health Care for American Indian and Alaska Native People
Learn more about Medicaid’s role in supporting access to health care for American Indian and Alaska Native people, Urban Indian Organizations, and the broader Indian health system.
Questions or Implementation Challenges?
If your organization encounters challenges related to AI/AN Medicaid protections or implementation, contact policy@ncuih.org.