Upcoming Statutory Deadlines

  • Jan. 1, 2026: 2.5% MPFS payment increase, part of CY 2026 final rule
  • Jan. 1, 2027: Duplicate-enrollment address checks and monthly verifications; 6-monthredeterminations; work requirements implementation; retroactive coverage 
  • Jan. 1, 2028: Phase-down of grandfathered SDPs begins; HCBS standalone waiver authority; Premium tax credit pre-verification
  • Oct. 1, 2028: Cost-sharing up to $35 per service for expansion adults, with certain exemptions

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