National Council for Mental Wellbeing
On March 6, the Centers for Medicare and Medicaid Services (CMS) distributed a State Medicaid Director Letter (SMDL) containing statutorily required guidance on Section 71107 of H.R.1.
Section 71107 of H.R.1 requires states to conduct more frequent Medicaid eligibility redeterminations for most adults in the Medicaid expansion population. While H.R.1 clearly mandates eligibility renewals once every six months for these individuals starting Jan. 1, 2027, this guidance provides several key clarifications and implementation details.