Meet the August 31 enrollee-notice mandate — in every language your members read.
CMS requires every in-scope state to send enrollee notices by August 31, 2026 — by mail plus at least one additional channel — covering compliance requirements, exemption categories, consequences, and how to report. We deliver the plain-language, multilingual materials your agency needs to meet that mandate, on the federal deadline, through whatever procurement path is available to you.
The mandate is active. Under the CMS December 8, 2025 Informational Bulletin and the June 1, 2026 Interim Final Rule (CMS-2454-IFC), states must send enrollee notices — mail plus at least one additional channel — between June 30 and August 31, 2026. Federal enforcement begins January 1, 2027. Good-faith implementation extensions are possible through December 31, 2028.
What the rule requires — and where states are most exposed
H.R.1 (signed July 4, 2025) requires many Medicaid expansion adults (ages 19–64) to complete approximately 80 hours per month of work, education, job training, or community service and to report it. States must stand up community-engagement requirements by January 1, 2027. The federal notice window — June 30 to August 31, 2026 — is the immediate delivery obligation.
What the notice must cover
- What the community-engagement requirement is and who it applies to
- The available exemption categories (caregiver, pregnant/postpartum, medically frail, AIAN, treatment, and others)
- How to report hours and how to claim an exemption
- What happens if a member does not comply or report
- How to request a fair hearing
What the mandate requires of states
- Mail — a physical notice sent to every in-scope enrollee
- At least one additional channel — SMS, IVR, email, or equivalent
- Delivery window: June 30 – August 31, 2026
- Content aligned to CMS guidance (December 8, 2025 bulletin and CMS-2454-IFC)
- Language access for members with limited English proficiency
The dominant failure mode is procedural disenrollment. In Arkansas's 2018–19 work-requirement program, roughly 18,000 people lost coverage — the majority for procedural reasons: missed notices, language barriers, and unclaimed exemptions — not because they failed to work. Dense bureaucratic notice language is not a neutral choice. It is the single most controllable risk factor in state implementation.
Flexible paths to contract — whatever your timeline requires
We understand that state procurement moves on its own clock. We are designed to fit inside the lanes that are already open — not to require a new one.
Direct engagement
For states that can contract directly with a specialized communications vendor, we work as the named subcontractor or a direct-award vendor for the member-outreach scope of work.
Through your prime
We work as a subcontractor to your eligibility-system or outreach prime — Maximus, Gainwell, Accenture, Deloitte, or others. If your prime is already under contract, we can be added as their communications sub quickly.
Existing contract vehicles
If your state has an active marketing, communications, or health-education contract vehicle, we can engage under it. We work with your procurement team to identify the fastest compliant path.
Minority-owned firm
We are a minority-owned firm (Asian-American-owned). Engaging us — directly or through a prime — supports your state's Business Enterprise Program and diversity participation goals. MBE certification status available on request.
CMS-aligned deliverables
Every notice, script, and campaign we produce is built to the CMS December 8, 2025 Informational Bulletin and the June 1, 2026 Interim Final Rule (CMS-2454-IFC) and is submitted for your agency's review and approval before anything reaches a member.
References on request
We submitted a proposal to a state Medicaid agency for the exact scope of work described on this page. We are happy to provide a reference and detailed capability statement under appropriate confidentiality terms.
A complete member-communications program, built to your approved requirements
We build everything to the state's approved notice specifications and CMS guidance. Every deliverable goes through your agency's review and approval process before it reaches any member. Work-for-hire — the state owns all materials.
Plain-language multilingual notices
CMS-compliant enrollee notices in plain language — English and Spanish as standard, additional languages for your population — rewritten to a 4th–6th grade reading level, with the deadline, exemptions, and next steps made clear. Built to your state's approved notice requirements.
Exemption-education campaigns
Targeted outreach to members in exemption-eligible categories — caregivers, pregnant members, medically frail individuals, and others. Designed to maximize exemption claim rates among people who qualify, reducing unnecessary disenrollment before enforcement begins.
SMS, IVR, and mail
Multichannel outreach sequenced across mail, SMS, and IVR — TCPA-compliant, with consent management and opt-out handling built in. Scripts written in plain language, available in English and Spanish as standard, stopping automatically when a member responds.
Comprehension testing
Before any notice ships, we test it for member comprehension — verifying that real members in your population understand what they must do, by when, and what help is available. Results are documented and available for CMS review.
Response and disenrollment-risk reporting
Campaign reporting disaggregated by language, geography, and population segment — response rates, exemption claim rates, and disenrollment-risk flags — so your agency can identify where additional outreach is needed and demonstrate coverage-protection impact.
Equity KPI reporting
Outreach reach and exemption-claim rates broken out by language preference, geography, and disability status — the equity metrics your state may need to report to CMS and to legislative oversight bodies.
Start where your pressure is — and scale as the program matures
Most state engagements begin with a rapid fixed-scope deliverable tied to the August 31 window, then grow into a managed outreach program for ongoing compliance and re-determination cycles.
CMS-compliant, plain-language enrollee notices (mail), SMS scripts, IVR scripts, and exemption one-pagers — in English and Spanish as standard — built and delivered inside the June 30–August 31 federal notice window. Comprehension-tested before delivery. Built to your agency's approved notice specifications.
- Mail notice copy (English + Spanish)
- SMS and IVR scripts (English + Spanish)
- Exemption one-pager for distribution through CBOs and FQHCs
- Comprehension-test summary
- CMS-alignment documentation
A structured review of your current notice set and member-journey from notice receipt through compliance or exemption claim — identifying every step where members are likely to fall off, and delivering a prioritized remediation roadmap with a multilingual sample notice pack.
- Notice-set plain-language and accessibility review
- Member-journey failure-point map
- Language-access gap analysis by enrollee population
- Multilingual sample notice pack
- Prioritized remediation roadmap
A 90-day outreach and exemption-education campaign targeting members at highest procedural-disenrollment risk — tied to a measured retention KPI. Demonstrates coverage-protection impact before your agency commits to a longer program.
- Target-population segmentation and prioritization
- Multichannel outreach (mail, SMS, IVR) in English and Spanish
- Exemption-claim rate measurement
- Disenrollment-risk reduction reporting
- Recommendations for full program
Ongoing, measured multilingual member-outreach for your community-engagement program — covering the reporting cycle, re-determination touchpoints (now every six months under OBBBA), and exemption renewals. Your member-communications layer, run and reported for you.
- Monthly multichannel outreach campaigns
- Re-determination cycle notice management
- Ongoing exemption-education for at-risk segments
- Monthly KPI reporting (disaggregated by language, geography, disability)
- Agency review/approval workflow on all materials
Pricing ranges reflect scope and population size. All engagements are delivered as work-for-hire; the state owns all materials. We engage directly or as a subcontractor to your prime.
Who is delivering your Aug 31 member-notice obligation?
Tell us your state, your current notice plan, and your procurement path and we will send back a plain read on what it would take to meet the mandate — usually within one business day.
- No obligation — a conversation is not a procurement
- We can engage directly or as a subcontractor to your prime
- CMS-compliant, comprehension-tested materials — plain language, not bureaucratic prose
- Capability statement and reference available on request
Thank you — your request is in. We will reply within one business day.
See where your state stands
The 50-State Work-Requirement and Procurement Tracker covers implementation status, exemption categories, timeline pressure, procedural-risk indicators, and procurement activity — state by state.
Common questions
What does the federal member-notice mandate require of states?
CMS requires every in-scope state to send enrollee notices between June 30 and August 31, 2026 — by mail plus at least one additional channel — covering what work requirements are, the exemption categories, consequences of non-compliance, and how to report. Federal enforcement begins January 1, 2027, with good-faith extensions possible through December 31, 2028.
Can we work through our existing contract vehicle or prime contractor?
Yes. We engage directly with state Medicaid agencies or as a subcontractor to your eligibility-system or outreach prime — whichever path is fastest for your procurement timeline.
Are you a certified minority-owned business?
We are a minority-owned firm (Asian-American-owned) and we actively support Business Enterprise Program and diversity participation goals. We are pursuing MBE certification; current certification status is available on request.
How long does it take to have compliant notices ready to mail?
The Aug 31 Notice and Outreach Rapid Pack — CMS-compliant English and Spanish notices, SMS and IVR scripts, and exemption one-pagers — is delivered in two to three weeks from contract execution. Custom or additional languages add time.
What does 'procedural disenrollment' mean for a state?
Procedural disenrollment happens when an otherwise-eligible enrollee loses coverage because of a paperwork failure — a missed notice, a misunderstood requirement, or an unclaimed exemption — rather than because they failed to comply. In Arkansas's 2018–19 program, roughly 18,000 people lost coverage for procedural reasons with no measurable gain in employment. States implementing H.R.1 work requirements face the same risk, and clear multilingual communications are the primary mitigation.