Medicaid eligibility management is entering a new phase. Beginning January 1, 2027, states must implement new community engagement requirements for certain Medicaid adults,alongside more frequent eligibility redeterminations. For state Medicaid agencies and managed care organizations, eligibility engagement is becoming a continuous operational responsibility—not an annual event.

Inside the Guide:

• What the 2027 changes mean for your members, including who must meet the new work requirements and who is exempt
• Why most coverage loss is procedural, and how to prevent it
• A four-pillar framework for continuous eligibility engagement
• How one Medicaid plan reached millions of members during redetermination
• A checklist to assess how ready your plan is for semiannual renewals

Equip your team with practical guidance to navigate the next era of Medicaid redetermination.