On December 8, the Centers for Medicare & Medicaid Services (CMS) released guidance for states about new community engagement requirements for certain Medicaid beneficiaries.
The guidance explains requirements from the “Working Families Tax Cut” legislation signed into law on July 4, 2025, which requires certain adult Medicaid recipients to show they are working, going to school, volunteering, or participating in job training programs to qualify for coverage. States must notify current beneficiaries about these new rules and begin implementing the requirements by January 1, 2027, with required outreach starting between July and September 2026 depending on each state’s chosen approach.
CMS will issue additional rules by June 1, 2026. For more information, please visit: www.medicaid.gov/medicaidreforms.