The Centers for Medicare & Medicaid Services (CMS) issued new guidance explaining how states must implement Medicaid eligibility redetermination rules under Section 71107 of Public Law 119-21, which requires most adult beneficiaries in the Medicaid expansion states to have their eligibility redetermined every six months instead of annually.
The six-month renewal requirement applies to renewals scheduled on or after January 1, 2027. The guidance reminds states of existing renewal steps they must follow and provides operational guidance on transitioning to 6-month renewals. It also discusses implications for related requirements, such as community engagement, and special situations like households with different renewal schedules.
CMS released a series of letters to help states implement various provisions of this law.