Comment on CMS-2026-2047-0002

Summary: Sick Cells, a national advocacy organization for individuals with sickle cell disease (SCD), supports the inclusion of SCD as a condition that may qualify for the medically frail exclusion under the new Medicaid community engagement requirements. However, they urge CMS to provide specific guidance on the episodic nature of the disease, simplify documentation requirements, and monitor for disparate impacts on Black Americans.