RESOURCES
Below you will find up-to-date resources, a glossary of key terms, and a required document checklist to assist your staff and clients in navigating enrollment with confidence.
RELEVANT RESOURCES
Additional tools and resources from partner organizations working on HIV, housing, and Medicaid access.
Fact Sheet: Medicaid Work Requirement — Need to Know
The AIDS Institute
HR1 Resource Center: Timeline, Key Resources & Ways to Take Action
Positive Women's Network – USA · Focused on people living with HIV
Protecting Health Insurance Coverage for Those Experiencing Homelessness
National Alliance to End Homelessness · Marcella Maguire and Tracy Johnson
Could Millions Lose Medicaid Coverage? New Research on Homelessness and HR1
National Center for Housing + Health · Video
Stay Covered Coalition (California)
Homebase, CSH, National Health Care for the Homeless Council, and partners · California-specific Medi-Cal toolkits, factsheets, and monthly office hours
Medicaid Work Requirements: What Housing and Health Providers Need to Know and Do Now
National Center for Housing + Health (CSH) · Melanie Kursun
Medical Frailty and Medicaid Work Requirements: Challenges for People with HIV
KFF · Lindsey Dawson and Jennifer Tolbert
The Medical Frailty Exemption from Medicaid Work Requirements: Key Takeaways from the CMS Interim Final Rule
KFF
Medicaid Program; Community Engagement Requirement for Certain Individuals (Interim Final Rule)
Federal Register / CMS · primary source
The Ryan White HIV/AIDS Program: The Basics
KFF
5 Key Facts About Medicaid Coverage for People with HIV
KFF · Lindsey Dawson, Priya Chidambaram, and Jessica Mathers
Health Insurance and Revenue at HCH Programs, 2024
National Health Care for the Homeless Council · HCH = Health Care for the Homeless
HIV Data Privacy and Confidentiality: Legal & Ethical Considerations for Health Department Data Sharing
NASTAD
ADDITIONAL RESOURCES (ongoing / undated)
Fact Sheet: Cutting Medicaid Threatens Plans to End the HIV Epidemic
The AIDS Institute
Fact Sheet: 7 Reasons for Medicaid Work Requirement Exemptions for People with HIV
The AIDS Institute
Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements
KFF · interactive tracker
Work Reporting Requirements
Center for Children and Families, Georgetown University
Resource Library
National Health Law Program
H.R.1 and the Impact on Affordable and Supportive Housing Residents
National Center for Housing and Health
Homelessness and Medicaid: What's the Connection?
National Health Care for the Homeless Council
Homelessness and Health: What's the Connection?
National Health Care for the Homeless Council
Updated Medicaid Work Reporting Requirements: Summary & Action Steps
National Health Care for the Homeless Council
GLOSSARY
Medicaid — a joint federal and state program providing health coverage to eligible low-income adults, children, pregnant people, elderly adults, and people with disabilities.
Medicare — the federal health insurance program primarily for people 65 and older, and some younger people with disabilities.
Medicare Part D — the portion of Medicare that covers prescription drugs.
Qualified Health Plan (QHP) — an insurance plan certified to be sold on the ACA Marketplace, meeting minimum coverage and cost standards.
Subsidies — financial assistance that lowers premiums (premium tax credits) or out-of-pocket costs (cost-sharing reductions) for Marketplace plans.
Qualified Medicare Beneficiary (QMB) — a Medicaid program that helps low-income Medicare beneficiaries pay Medicare premiums and cost-sharing.
Open Enrollment — the yearly period when people can newly enroll in or change Marketplace health coverage.
Sliding Fee Scale — a pricing structure at community health centers that adjusts what a patient pays based on income.
ADAP (AIDS Drug Assistance Program) — a federally funded program that helps pay for HIV medications for eligible people who are uninsured or underinsured.
AIAP (AIDS Insurance Assistance Program) — a program that helps eligible people living with HIV pay health insurance premiums to stay continuously covered.
Medicaid Expansion — the option, created by the ACA, for states to cover adults ages 19–64 with income up to 138% of the poverty level. Adults who qualify this way are called the "expansion group" and face the most H.R. 1 changes.
Traditional Medicaid — coverage for people who qualify through a disability or SSI, pregnancy, being a parent or caretaker, or being an older adult. These enrollees are not subject to work requirements or 6-month renewals.
Work Reporting Requirements — new federal rules (starting January 1, 2027) that apply only to adults in states that expanded Medicaid. They must show 80 hours a month of work, school, training, or volunteering, or $580 a month in income, unless exempt.
Medically Frail — an exemption from work requirements for people who are blind or disabled, or who have a substance use disorder, a disabling mental disorder, or a serious or complex medical condition. Each state sets its own list and proof rules.
SSI (Supplemental Security Income) — a monthly payment for people with disabilities or older adults with very low income and assets. In most states, getting SSI means automatic Medicaid outside the expansion group.
SSDI (Social Security Disability Insurance) — a monthly benefit for people with a disability who have worked enough years. After a two-year wait, SSDI leads to Medicare, which is an exemption from work requirements.
Six-Month Renewals — starting in early 2027, adults in states that expanded Medicaid must renew coverage every 6 months. Everyone else still renews once a year.
Format and additional terms modeled in part on Whitman-Walker Health's Insurance Navigation Services (Washington, D.C.).
REQUIRED DOCUMENTS CHECKLIST
What clients typically need to bring to an enrollment appointment. Exact requirements vary by state — check your State Directory entry for local specifics.
Proof of Identity
Driver's license, state ID, or passport
Proof of Residency
A rent/mortgage statement or utility bill — or, for clients without a stable address, a letter from a CBO or shelter confirming where they stay. P.O. Boxes may not be accepted.
Proof of Income
Most recent pay stub, or an SSI/SSDI/TANF award letter
Immigration Documents (if applicable)
Passport, green card/LPR, or asylum approval
POSITIVELY COVERED
Stay Enrolled, Stay Healthy.
A PROJECT OF
Site and Project Run by the National HIV/AIDS Housing Coalition, in Partnership with The AIDS Institute