CMS Issues State Guidance On Implementing Medicaid Eligibility Changes Due To Federal Community Engagement Mandates

The Centers for Medicare & Medicaid Services (CMS) released comprehensive guidance to help states navigate sweeping changes to Medicaid eligibility requirements enacted under public law 119-21, signed on July 4, 2025, as the “One Big Beautiful Bill Act,” which CMS now refers to as the Working Families Tax Cut legislation.

Under Medicaid eligibility changes, able-bodied adults of working age will be required to participate in employment or community activities to maintain coverage. The CMS guidance outlines implementation strategies for community engagement mandates.

The eligibility changes aim to link beneficiaries with employment opportunities while addressing enrollment integrity concerns and . . .