FEDERAL REGISTER
Federal compliance deadlines
Each row is a plan or state obligation stated in the cited rule. The compliance date is the date the rule text gives. The effective date is the Federal Register effective date for that document. Retrieved 2026-11-02.
| Rule | Citation | Effective date | Compliance date | Plan obligation | Source |
|---|---|---|---|---|---|
| CMS-2439-F | 89 FR 41002 | 2024-07-09 | 2024-07-09 | The managed care rule is effective on this date. A provision applies then unless the rule states a later applicability date for that provision. | https://www.federalregister.gov/documents/2024/05/10/2024-08085/medicaid-program-medicaid-and-childrens-health-insurance-program-chip-managed-care-access-finance |
| CMS-2439-F | 89 FR 41002 | 2024-07-09 | first rating period for contracts with MCOs, PIHPs and PAHPs beginning on or after July 9, 2024 | The plan contract includes the state directed payment paragraphs cited for that initial rating period: (c)(2)(iii), (c)(2)(vi)(B), and (c)(2)(vi)(C)(1) and (2). | https://www.federalregister.gov/documents/2024/05/10/2024-08085/medicaid-program-medicaid-and-childrens-health-insurance-program-chip-managed-care-access-finance |
| CMS-2439-F | 89 FR 41002 | 2024-07-09 | first rating period beginning on or after 60 days following July 9, 2024; paragraphs (i)(3) and (4) one year following July 9, 2024 | The MCO, PIHP, or PAHP keeps the documentation that supports provider incentive payments in the MLR and does not use attestations as support for data that factor into the MLR calculation, on the applicability dates in this paragraph. | https://www.federalregister.gov/documents/2024/05/10/2024-08085/medicaid-program-medicaid-and-childrens-health-insurance-program-chip-managed-care-access-finance |
| CMS-2439-F | 89 FR 41002 | 2024-07-09 | 2025-07-01 | The state is not held out of compliance with 42 CFR 438.10(h)(1), including paragraph (h)(1)(ix), before July 1, 2025, so long as it still meets the standard in effect on October 1, 2023. Plan contracts follow the information requirement the state applies. | https://www.federalregister.gov/documents/2024/05/10/2024-08085/medicaid-program-medicaid-and-childrens-health-insurance-program-chip-managed-care-access-finance |
| CMS-2439-F | 89 FR 41002 | 2024-07-09 | first rating period beginning on or after 3 years after July 9, 2024 | Managed care plan contracts reflect appointment wait time standards at 42 CFR 438.68(b) and the related 42 CFR 438.206(c)(1)(i) availability standard on that rating period. | https://www.federalregister.gov/documents/2024/05/10/2024-08085/medicaid-program-medicaid-and-childrens-health-insurance-program-chip-managed-care-access-finance |
| CMS-2439-F | 89 FR 41002 | 2024-07-09 | first rating period for contracts with MCOs, PIHPs and PAHPs beginning on or after 2 years after July 9, 2024 | The annual report paragraphs (g)(5) through (13), including network adequacy, secret-shopper results, state directed payment evaluation, required APIs, quality information, and mental health parity documentation, apply on that rating period. | https://www.federalregister.gov/documents/2024/05/10/2024-08085/medicaid-program-medicaid-and-childrens-health-insurance-program-chip-managed-care-access-finance |
| CMS-2439-F | 89 FR 41002 | 2024-07-09 | first rating period for contracts with MCOs, PIHPs and PAHPs beginning on or after January 1, 2028 | Provider attestation provisions at 42 CFR 438.6(c)(2)(ii)(H) apply no later than that rating period. | https://www.federalregister.gov/documents/2024/05/10/2024-08085/medicaid-program-medicaid-and-childrens-health-insurance-program-chip-managed-care-access-finance |
| CMS-2442-F | 89 FR 40542 | 2024-07-09 | 2024-07-09 | The access rule is effective on this date. Provisions that state their own applicability date apply on that later date. | https://www.federalregister.gov/documents/2024/05/10/2024-08363/medicaid-program-ensuring-access-to-medicaid-services |
| CMS-2442-F | 89 FR 40542 | 2024-07-09 | no later than 2026-12-31 | The Secretary identifies and updates the Home and Community-Based Services Quality Measure Set no more frequently than every other year, beginning no later than December 31, 2026. Plans that deliver HCBS report the measures the state requires from that set. | https://www.federalregister.gov/documents/2024/05/10/2024-08363/medicaid-program-ensuring-access-to-medicaid-services |
| CMS-2454-IFC | 91 FR 33348 | 2026-07-31 | 2027-01-01 | State Medicaid agencies must require applicable individuals to demonstrate community engagement as a condition of eligibility no later than January 1, 2027, unless a good-faith exemption applies. A plan follows the operational duties its contract assigns for that state requirement. | https://www.federalregister.gov/documents/2026/06/03/2026-11094/medicaid-program-community-engagement-requirement-for-certain-individuals |