HELENA, Mont. — New Medicaid rules took effect for many Montana residents as the state began requiring community engagement for most Medicaid expansion members ages 19 to 64.

State officials said most people in that group now have to complete and document at least 80 hours of community service each month.

The change follows the Montana Legislature’s reauthorization of Medicaid expansion and federal mandates.

Montana public health officials said they plan to review compliance at each member’s next eligibility review to decide whether coverage will continue.

The Department of Public Health and Human Services said it wants to help eligible Montanans keep their coverage while meeting the new rules.