Evaluation of the Healthy Michigan Plan Section 1115 Community Engagement Requirement Waiver

Inclusion Criteria: Enrollees eligible for the HMP community engagement requirement, including: * Adult HMP beneficiaries ages 19-62 who are not otherwise exempt. Exclusion Criteria: Enrollees exempt from the community engagement requirement includiung: * Pregnant women * Primary caregivers of a family member under six years of age (limited to one caregiver per household) * Caretakers of a dependent with a disability who needs full-time care (allowed for one beneficiary per household if there is only one dependent with a disability who meets the criteria specified above in the household) * Caretakers of an incapacitated individual even if the incapacitated individual is not a dependent of the caretaker * Beneficiaries considered medically frail * Beneficiaries currently receiving temporary or permanent long-term disability benefits from a private insurer or from the government * Beneficiaries diagnosed with an acute medical condition that would prevent them from complying with the requirements * Beneficiaries who have been incarcerated within the last six months * Beneficiaries currently receiving unemployment benefits from the state * Beneficiaries under 21 years of age who had previously been in foster care placement in Michigan * Full-time students.