Medicaid Community Engagement Requirements and Older Adults: Frequently Asked Questions
Article Publication Date
Summary
The Justice in Aging recently released a resource answering frequently asked questions about Medicaid community engagement requirements and older adults.
In 2025, Congress passed H.R.1, which made many changes to Medicaid eligibility, including new community engagement requirements. In June 2026, the Centers for Medicare and Medicaid Services issued an Interim Final Rule on how states must implement these requirements, with some decisions left up to individual states. States must implement community engagement requirements by January 2027.
While this resource answers policy questions that apply across all states, interested individuals should rely on guidance from their state Medicaid agency for specific details on how their state plans to implement community engagement requirements.
In 2025, Congress passed H.R.1, which made many changes to Medicaid eligibility, including new community engagement requirements. In June 2026, the Centers for Medicare and Medicaid Services issued an Interim Final Rule on how states must implement these requirements, with some decisions left up to individual states. States must implement community engagement requirements by January 2027.
While this resource answers policy questions that apply across all states, interested individuals should rely on guidance from their state Medicaid agency for specific details on how their state plans to implement community engagement requirements.
