In a June 26 posting to the Federal Register, the Centers for Medicare and Medicaid Services (CMS) announced non-substantive updates to the Medicaid Access Rule. In review of the posting of changes, LeadingAge agrees that most changes are insignificant corrections of citation cross references. The update includes clarification of some timelines for state compliance on participation in stakeholder groups that initially had compliance dates of the effective date of the rule (July 9, 2024). These dates and participant percentage thresholds have been updated to reflect compliance dates shifting to 2025 and beyond. Additional changes include clarification of federal obligations to update measures used in the home and community-based quality measure set which states are required to adopt through this rulemaking by December 31, 2026. The update can be accessed here and questions can be directed to Georgia Goodman at ggoodman@leadingage.org.