Staff presented a draft chapter for the June 2026 report to Congress describing findings from the Commission’s analytic work on considerations for implementing community engagement requirements in Medicaid. The draft chapter begins with background on community engagement requirements in Medicaid and an overview of the statutory requirement in the 2025 Budget Reconciliation Act (P.L. 119-21). Then, it outlines the Commission’s principles and corresponding considerations for implementing community engagement requirements as supported by the research. The chapter concludes with a discussion of the Commission’s recommendation for monitoring and evaluation. Looking ahead, the Commission will continue to monitor federal and state activities related to community engagement requirements in Medicaid and identify areas where additional analysis may inform policymakers.
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Medicaid and CHIP Payment and Access Commission