CMS’s Section 71107 implementation materials address the transition from annual to six-month renewal cycles for most adults enrolled in the Medicaid expansion group.
The March 2026 State Medicaid Director letter describes alternative approaches for transitioning already-enrolled beneficiaries, operational considerations for rescheduling renewal cohorts, notices and fair-hearing requirements, system changes, and coordination with community-engagement implementation. CMS also provides an overview slide deck summarizing the new requirements.
This resource links directly to CMS so readers can access the current federal guidance and implementation materials as they are updated.