# States Prepare Medicaid Work Requirements

State Medicaid agencies are preparing to enforce Medicaid work requirements by January 1, while the Centers for Medicare & Medicaid Services (CMS) has provided a checklist of potential implementation fixes. States may need additional staffing and changes to IT systems to carry out the requirements. The article identifies no specific solicitations, budgets, vendors, or procurement contacts, so the development signals a possible need for implementation and operational support rather than a confirmed contracting opportunity.

- State agencies and contractors supporting Medicaid operations may find demand for staffing, systems changes, and implementation assistance as states prepare for enforcement.
- Companies should assess whether their Medicaid program, IT, and operational support capabilities align with states’ anticipated implementation needs; no specific procurement actions or funding are identified.

**Jurisdictions:** sled
**Industries:** Healthcare
**Topics:** Regulatory Compliance, Digital Infrastructure
**Published:** October 27, 2026

### Government Entities
- Centers for Medicare & Medicaid Services (CMS)
- State Medicaid agencies

### Sources
- [Health Brief: States brace for Medicaid crunch - The Washington Post](https://www.washingtonpost.com/wp-intelligence/health-brief/2026/10/26/health-brief-states-brace-medicaid-crunch) - The Washington Post