CHAI (Co-Chaired by NACHC) Releases Responsible-AI Guides for Medicaid Eligibility — Ahead of the June 1 HHS Deadline

The Coalition for Health AI (CHAI) released two Best Practice Guides on May 11, 2026 for the responsible use of AI in Medicaid enrollment and eligibility adjudication — work co-chaired by NACHC alongside Centene, HealthTech 4 Medicaid, Pair Team, and 40+ organizations. The guides are timed ahead of the June 1, 2026 HHS guidance deadline and are built around H.R.

1's new community-engagement (work) requirements, which threaten to drop eligible patients during redetermination. They give states and providers role-based guardrails so AI-driven eligibility workflows don't inappropriately cut coverage.

Strategic implication for FQHCs: the H.R. 1 redetermination wave is a major threat to FQHC patient coverage — this framework helps FQHCs and their Medi-Cal managed-care partners prevent inappropriate, AI-accelerated coverage loss.

NACHC's co-chair role signals FQHCs have a seat at the AI-governance table.