Medicaid Program; Community Engagement Requirement for Certain Individuals

A new federal interim final rule requires states to implement Medicaid community engagement conditions — such as work, volunteering, or education — for certain beneficiaries by January 1, 2027. The rule outlines which enrollees must meet the requirement, what activities qualify, how exceptions and exclusions are determined, and how states must verify compliance and handle noncompliance. Physical therapists working in Medicaid-funded settings should be aware that patient populations may face eligibility disruptions if they cannot demonstrate qualifying activities.

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