Data / Federal rules / 2026-11094
Medicaid Program; Community Engagement Requirement for Certain Individuals
The Centers for Medicare & Medicaid Services published this final rule in the Federal Register on June 3, 2026. It took effect on July 31, 2026.
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What the agency says
This interim final rule with comment period (IFC) interprets and implements the community engagement requirement in Medicaid under section 1902(xx) of the Social Security Act. States are required to implement the new requirement no later than January 1, 2027. This IFC specifies the requirements and expectations for States, including the Medicaid applicants and beneficiaries who must demonstrate community engagement as a condition of their eligibility, the types of qualifying activities that satisfy the community engagement requirement, the criteria to meet an exception from the requirement (that is, be deemed compliant), and the criteria to meet a specified exclusion from the requirement. It also specifies requirements for verification of qualifying activities, outreach to affected populations, steps States must take if they determine individuals are noncompliant, and additional operational considerations for States. Finally, this IFC specifies implementation timing and establishes new State reporting requirements.
Key facts
- Document number
- 2026-11094
- Type
- Final rule
- Action
- Interim final rule with comment period
- Agency
- Health and Human Services Department; Centers for Medicare & Medicaid Services
- Published
- June 3, 2026
- Takes effect
- July 31, 2026
- Dates
- Effective date: These regulations are effective on July 31, 2026.
- Docket
- CMS-2454-IFC
- Regulation ID (RIN)
- 0938-AV98
- Code of Federal Regulations
- 42 CFR 431; 42 CFR 435; 42 CFR 438; 42 CFR 457; 42 CFR 600
- Topics
- Administrative practice and procedure; Aid to Families with Dependent Children; Citizenship and naturalization; Civil rights; Grant programs-health; Health care; Health facilities; Health insurance; Individuals with disabilities; Intergovernmental relations; Medicaid; Medicare; Penalties; Privacy; Reporting and recordkeeping requirements; Sex discrimination; Supplemental Security Income (SSI); Wages
- Pages
- 135
Other documents from the Centers for Medicare & Medicaid Services
Everything from the Centers for Medicare & Medicaid Services · Rules on administrative practice and procedure · Rules on aid to families with dependent children · Rules on citizenship and naturalization · Published in June 2026
Read from the Federal Register API, last updated 2026-10-23. The document on federalregister.gov is the official record; dates and dockets can change through later corrections. Free to reuse with credit to SpecStream under CC BY 4.0.