Prepare Your Patients as States Resume Medicaid and CHIP Eligibility Reviews
Published on
Wednesday, April 5, 2023
Did You Know?
The 2020 Families First Coronavirus Response Act (FFCRA) temporarily increased the federal government’s share of Medicaid costs to help states manage the impact of the COVID-19 public health emergency (PHE). The FFCRA prevented states from terminating people’s coverage during the PHE.
A provision in the Consolidated Appropriations Act, 2023 (CAA, 2023) no longer linked the temporary stop to Medicaid and CHIP eligibility reviews to the end of the PHE. Instead, the continuous enrollment condition ended on March 31, 2023.
Why it Matters?
States can now terminate Medicaid enrollment for individuals no longer eligible. You can read more about this in a related Center for Medicaid and CHIP Services (CMCS) January 5, 2023 Informational Bulletin.
What Can I Do?
In the Thursday, March 30, 2023, edition of MLN Connects, CMS provided the following information for you to share with your patients as states restart Medicaid and CHIP eligibility reviews:
Share the Renew Your Medicaid or CHIP Coverage flyer with your Medicaid and Children’s Health Insurance Program (CHIP) patients.
Starting February 1, 2023, some states resumed Medicaid and CHIP eligibility reviews that they temporarily stopped during the pandemic. This means millions of people could lose their current Medicaid or CHIP coverage in the coming months. To find out if they can continue their coverage, people with Medicaid and CHIP must get ready to renew now.
Here are 3 things your patients with Medicaid or CHIP can do to prepare:
- Make sure their state has their current contact information.
- Check the mail for a letter about their Medicaid or CHIP coverage.
- Complete their renewal form right away (if they get one).
Related Resources:
Renew Your Medicaid or CHIP Coverage
Medicaid and CHIP Continues Enrollment Unwinding: A Communication Toolkit
Marketplace Temporary Special Enrollment Period FAQs
Unwinding and Returning to Regular Operations after COVID-19
Article Author: Beth Cobb, RN, BSN, ACM, CCDS
Beth Cobb, RN, BSN, ACM, CCDS, is the Manager of Clinical Analytics at Medical Management Plus, Inc. Beth has over twenty-five years of experience in healthcare including eleven years in Case Management at a large multi-facility health system. In her current position, Beth is a principle writer for MMP’s Wednesday@One weekly e-newsletter, an active member of our HIPAA Compliance Committee, MMP’s Education Department Program Director and co-developer of MMP’s proprietary Compliance Protection Assessment Tool.
