Q&A: Medicaid Community Engagement Requirements and What States Need to Know
Top Takeaways for State Agencies: Community engagement requires monthly validation at scale. States need systems that can run continuously without creating bottlenecks or member friction. Fragmented systems will drive manual work and coverage loss. A data-first approach reduces administrative burden, improves accuracy, and limits unnecessary outreach to members. Strong guardrails like clear notices, cure periods, […]
HR1 Work Requirements for Medicaid: Why an End-to-End, Automated Approach Is Critical for 2027
With CMS setting a go-live date of January 1, 2027 for HR1 Medicaid work requirements, states are entering a period of intense planning, coordination, and execution. While the policy objectives are clear, the operational realities are complex. CMS guidance explicitly encourages states to leverage existing data sources and automation first, working closely with vendor partners to build […]