Millions of people are anticipated to lose their Medicaid coverage as a result of the unraveling process, which might provide a number of difficulties for Medicaid enrollees. However, support with enrollment, education, and community engagement can help people maintain their coverage. We are here to help with the transition and offer a solution that meets your needs.
Why are people being removed?
Early in 2020, Congress implemented safeguards for Medicaid beneficiaries to make sure they could maintain their coverage throughout the COVID-19 outbreak. The COVID-19 Public Health Emergency (PHE) was the initial connection between this policy, also known as the continuous coverage requirement.
The continuous coverage obligation, regardless of whether the PHE is still in force, ends on March 31, 2023, according to an omnibus budget measure that was passed in December 2022, which breaks this relationship. States must examine each Medicaid enrollee’s eligibility in order to “unwind” the continuous coverage requirement.
What can I do? What is the next step?
- People who lose Medicaid because they are no longer eligible will qualify for a special enrollment period (SEP) on HealthCare.gov or their state-based marketplace.
- People who lose their Medicaid due to the unwinding process have 90 days to get in touch with the Medicaid agency and submit their papers for renewal. The state is required to reinstate their coverage to the day it was discontinued if they are still eligible for Medicaid. Those who don’t apply within the 90-day window must reapply with a new application.
If a person loses Medicaid due to changing eligibility requirements, they may be eligible for a special enrollment period (SEP) on HealthCare.gov or their state-based marketplace.
- Contact into our offices for a licensed professional to walk you through the transtion and get coverage started again.