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Medicaid Program; Community Engagement Requirement for Certain Individuals

Monday, June 29, 2026

Plain English Summary

The Medicaid program has introduced a new requirement for certain individuals to engage with their community. This means that individuals must confirm their status at least once a year. Additionally, the agency must follow all federal privacy laws when handling personal data related to this verification process. Insurance agents should ensure their clients understand this requirement and assist them in maintaining compliance.
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by or on behalf of the individual, the agency must reverify this status at least every 12 months. (2) The agency must comply with all applicable Federal privacy requirements including section 1902(a)(7) of the Act; part 431, subpart F of this subchapter; the Health <span class="match">Insurance</span> Portability and Accountability Act of 1996 (42 U.S.C. 1320d et seq. ); part 2 of this title; and any other applicable Federal privacy laws when accessing, storing, and handling data obtained to verify that an individual is medically frail or otherwise has special medical