Federal Register #C1-2026-11094

Medicaid Rule: Community Engagement Requirements for Certain Beneficiaries

This regulatory announcement from the Department of Health and Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), introduces new community engagement requirements for certain Medicaid beneficiaries. - Government Buyer: - Department of Health and Human Services (HHS) - Centers for Medicare & Medicaid Services (CMS) - No OEMs or commercial vendors are referenced, as this is a policy rule, not a procurement action. - No products or services are being requested; the rule focuses on regulatory requirements. - Key requirements and provisions: - Establishes community engagement (work or similar activities) as a condition for Medicaid eligibility for certain individuals - Details processes for verifying compliance, including use of reliable information sources and electronic data services - Specifies exceptions, exclusions, and procedures for noncompliance - Includes requirements for verifying medical frailty and protecting privacy for specific populations - Notable for its emphasis on verification, eligibility, and privacy processes within Medicaid administration.

Description

This rule pertains to the Medicaid program and introduces community engagement requirements for certain individuals. It is issued by the Centers for Medicare & Medicaid Services under the Department of Health and Human Services. The rule outlines verification processes for compliance, exceptions, exclusions, and noncompliance procedures related to community engagement. It also specifies the use of reliable information sources and electronic data services for verification purposes. The rule includes provisions for medical frailty verification and privacy requirements for certain populations.

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