Considerations for States and Partners in Implementing Medicaid Community Engagement Requirements for People with Brain Injury

Medicaid community engagement requirements require certain beneficiaries to participate in qualifying activities, such as work, education, job training, or community service, or to qualify for an exemption.

This resource outlines considerations for states and partners in implementing these requirements in ways that recognize how brain injury may affect memory, communication, organization, behavior, and the ability to navigate complex systems. It includes tailored information for:

• States: Considerations for designing and implementing policies, processes, exemptions, and supports that reflect the needs of people with brain injury.

• Organizations supporting people with brain injury: Steps organizations can take to educate individuals, help them understand and meet requirements, and address potential barriers to maintaining Medicaid coverage.

• Advocates: Opportunities to inform implementation, seek transparency, and elevate the experiences of people with brain injury.