Countdown to 2027: Why Enrollment, Interoperability, and Revenue Integrity Must Work Together

With major Medicaid eligibility and community engagement requirements taking effect Jan. 1, 2027, community-based organizations, health and human service agencies, and their partners are facing a new operational reality. At the same time, heightened program integrity scrutiny is placing greater emphasis on documentation, service verification, and audit readiness. While these pressures are often managed by separate teams, their impact converges at the front lines of care delivery. When enrollment support, data exchange, and revenue cycle processes operate in silos, organizations risk both coverage disruptions for the people they serve and challenges substantiating the services they provide.

In this member-led webinar, Health Roads will explore why enrollment and engagement, standards-based interoperability, and revenue integrity now function as a single operating system for community-based care. Attendees will gain practical insights into the policy changes taking effect in 2027, current Medicaid enforcement trends, and the documentation practices being tested across behavioral health, home- and community-based services, personal care, and skilled nursing. Through expert perspectives and a real-world CBO case study, participants will leave with a readiness checklist, actionable steps to strengthen operations before January 2027, and a clearer understanding of how HIEs, HDUs, and CIEs can serve as shared infrastructure to support identity, consent, event notifications, and closed-loop referrals.