Medicaid Program; Community Engagement Requirement for Certain Individuals
Built by the Tribune's code from the Federal Register. No AI wrote this page. Published in the Federal Register June 3, 2026. Document 2026-11094. Updated Nov. 10, 2026.
- What it does
This interim final rule with comment period (IFC) interprets and implements the community engagement requirement in Medicaid under section 1902(xx) of the Social Security Act. States are required to implement the new requirement no later than January 1, 2027. This IFC specifies the requirements and expectations for States, including the Medicaid applicants and beneficiaries who must demonstrate community engagement as a condition of their eligibility, the types of qualifying activities that satisfy the community engagement requirement, the criteria to meet an exception from the requirement (that is, be deemed compliant), and the criteria to meet a specified exclusion from the requirement. It also specifies requirements for verification of qualifying activities, outreach to affected populations, steps States must take if they determine individuals are noncompliant, and additional operational considerations for States. Finally, this IFC specifies implementation timing and establishes new State reporting requirements.
The Centers for Medicare & Medicaid Services's summary, as published in the Federal Register.
- What changed in the regulation
5 parts of Title 42 of the Code of Federal Regulations:
42 CFR 431, 42 CFR 435, 42 CFR 438, 42 CFR 457, 42 CFR 600
Wording on eCFR: the day before it took effect and from the day it took effect (first part listed).
- Compared with
The Centers for Medicare & Medicaid Services has published 24 final rules in 2026 so far, compared with 12 in all of 2025.
Counted by the Tribune from Federal Register records since Jan. 1, 2025.
- Before this
No earlier Federal Register document under regulation identifier 0938-AV98 since Jan. 1, 2025.
Since then:
- What happens next and when
Effective date: These regulations are effective on July 31, 2026.
The agency's dates, word for word.
The record as published
| Document number | 2026-11094 |
|---|---|
| Action | Interim final rule with comment period. |
| Agencies | Health and Human Services Department; Centers for Medicare & Medicaid Services |
| Published | June 3, 2026 |
| Effective date | July 31, 2026 |
| Regulation identifier (RIN) | 0938-AV98 |
| Docket | CMS-2026-2047 |
Source: the Federal Register (public domain). The document in the Federal Register