Documents › Agency rules › 2026-11094
Health and Human Services Department, Centers for Medicare & Medicaid Services
Medicaid Program; Community Engagement Requirement for Certain Individuals
Published June 3, 2026. Takes effect July 31, 2026. printed at 91 FR 33348. amending 42 CFR 431, 42 CFR 435, 42 CFR 438, 42 CFR 457.
Some adults on Medicaid must work or train to keep it. This sets out how.
What the Rule Says 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.
This is the rule's own summary, as the Federal Register prints it.
The Orders It Names
- Executive Order 14156: Declaring a National Energy Emergency
- Executive Order 14193: Imposing Duties To Address the Flow of Illicit Drugs Across Our Northern Border
The rule names these orders itself. What it does about them is a reading, and none is recorded here.
- The rule itself
Health and Human Services Department, Centers for Medicare & Medicaid Services, “Medicaid Program; Community Engagement Requirement for Certain Individuals,” 91 FR 33348 (June 3, 2026). Effective July 31, 2026.
https://www.federalregister.gov/documents/2026/06/03/2026-11094/medicaid-program-community-engagement-requirement-for-certain-individuals - This page
“Medicaid Program; Community Engagement Requirement for Certain Individuals,” a final rule naming an order indexed here. Read the Mandate, https://readthemandate.org/rules/rule-2026-11094/ (retrieved August 26, 2026).
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How This Rule Is Quoted
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