Medicaid redetermination update

Q2 Word of Mouth newsletter 2023

As of April 1, 2023, states can begin redeterminations to decide if individuals and their family members qualify for coverage through Medicaid or the Children’s Health Insurance Program (CHIP). Patients will need to take steps to find out if they can continue their coverage through Medicaid or CHIP.

Reason for this change

This change is occurring because of the December 2022 federal omnibus bill that split the public health emergency from the Centers for Medicaid and Medicare Services annual Medicaid enrollment process.

What this means for patients

This means some people with Medicaid or CHIP could be disenrolled from those programs, but they may be eligible to buy a health plan through the health insurance marketplace or obtain one through their employer.

What you can do to help your patients prepare 

You can help by reminding your patients who have Medicaid to:

• Update their contact information with the state, ensuring their mailing address, phone number, email or other contact information is correct
• Check their mail and email for information from the state about coverage and reinstated renewal requirements
• Complete their renewal application promptly and return it to their state to help avoid a gap in coverage

Learn more

• Each state is handling redeterminations differently. Please direct specific questions to your state Medicaid agency
• For more details on redeterminations, go to Medicaid.gov