work requirements Trump is Allowing States to Add a Work Requirement for Medicaid. What Could it Mean for Ohio? By Andy Chow • Jan 11, 2018 ANDY CHOW / UNITED HEALTH CARE ACTION NETWORK The Trump administration is clearing the way for states to attach work requirements for peole on Medicaid. The announcement has sparked outrage among health-care advocates and could mean some changes for the Ohio's program. The Centers for Medicare and Medicaid Services released new guidelines that allow states to require a Medicaid recipient to work in order to get their health-care coverage.