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Medicaid Modernization Is Becoming a Compliance Project

The announcement that state Medicaid technology vendors are pledging more than $600 million in no cost and discounted support for community engagement implementation is being positioned as an efficiency win. A January 29, 2026 CMS newsroom announcement framed the commitments as a way to help states meet new requirements while accelerating broader eligibility and enrollment modernization. That framing is strategically sound. It is also incomplete.
February 9, 2026
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