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Medicaid renewal means millions of people could lose their benefits
Posted: July 12, 2022
Last updated date: February 09, 2023
What is Medicaid renewal?
Whether you call it Medicaid renewal, Medicaid redetermination or Medicaid recertification, it means the same thing. It’s when people who get Medicaid benefits have to recertify, or renew, their coverage. To do so, they need to prove that they still meet the qualifying requirements to receive Medicaid benefits in their state. In most states, Medicaid beneficiaries need to renew every year.
COVID-19 stopped the need to renew for Medicaid
The COVID-19 pandemic created a public health emergency. During this
time, the requirement for Medicaid recipients to renew every year was
temporarily stopped. The pandemic health emergency has been extended
many times since January 2020. As a result, Medicaid recertification
has been on hold for more than 2 years and a record number of people
are now on Medicaid. In fact, more than 81 million people were enrolled in
Medicaid as of May 2022.
1
Medicaid recertification will start again on April 1, 2023
At the end of 2022, Congress passed a yearlong spending package for 2023. This bill also set April 1, 2023 as the new start date when Medicaid recertification would begin again. Then, states have up to 12 months to recertify all of their Medicaid recipients. But this won’t be an easy task. That’s because states may not have had any contact with many Medicaid enrollees for 2–3 years. So many addresses or contact information may be out of date.
Medicaid recipients who don’t recertify are in danger of losing
their Medicaid coverage and could find themselves without health
insurance coverage. For anyone who is on Medicaid, it’s important to
make sure your state Medicaid agency has accurate and up-to-date
contact information for you.
Having no Medicaid coverage could make it harder to get medical care
Millions of people could lose their Medicaid coverage
It’s estimated that as many as 15 million people under age 65 could lose their
Medicaid benefits during the Medicaid recertification process.
2 Having no Medicaid
coverage could make it harder to get medical care. It could also
result in expensive medical bills for those without health
insurance.
Medicaid coverage is key for people who are dual eligible
People who qualify for both Medicare and Medicaid are known as dual eligible. Dual Special Needs Plans (D-SNPs) are a type of Medicare Advantage plan that provide extra benefits beyond Original Medicare and Medicaid*.
You need to have Medicaid coverage to qualify for a D-SNP. So, after April 1, 2023, D-SNP members will need to recertify their Medicaid coverage. D-SNP members who find they no longer qualify for Medicaid in their state will need to choose a different type of Medicare plan. For the most up-to-date information about Medicaid recertification, please check with your state Medicaid Agency.
*Benefits and features vary by
plan/area. Limitations and exclusions apply.
1
May 2022 Medicaid & CHIP Enrollment Data
Highlights(accessed August 29, 2022)
2.
Why Millions on Medicaid Are at Risk of Losing
Coverage in the Months Ahead, (KFF, February 14, 2022)
(accessed March 1, 2022)
Answer a few quick questions to see what type of plan may be a good fit for you.
Medicaid or dual-eligible plan benefits can change depending on where you live. Search using your ZIP code to find the right plan to meet your health care needs.