To The Administration

HLC letter to CMS in response to the Medicaid Community Engagement Requirement for Certain Individuals Interim Final Rule with Comment Period

The letter supports CMS’ efforts to streamline verification of Medicaid community engagement requirements through automated, data-driven processes while expressing concern that manual verification of exemptions will increase administrative burden and lead to eligible individuals losing coverage. HLC’s recommendations include greater flexibility in verification and exclusion processes, reduced documentation burdens, and implementation changes aimed at minimizing coverage disruptions and supporting successful state adoption.

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HLC drives policy change through strategic letters, comments, and reports that promote private-sector innovation. Focused on priorities like Medicare reform, telehealth, and health equity, HLC engages with lawmakers and agencies to shape a smarter, more responsive healthcare system.