State-Level Resources

Resource Guides

February 10, 2023 -

Resuming Medicaid Eligibility Redeterminations While Minimizing Coverage Disruptions

As a result of recent congressional action, tens of millions of Americans currently enrolled in the Medicaid program will go through the process of “redetermination” to assess whether they are still eligible for Medicaid or if they must transition into another form of coverage (e.g., Marketplace, employer-sponsored health coverage) for the first time since March 2020. As state Medicaid agencies prepare for the process of redetermination, it is important that they consider their MCOs as partners and resources for ensuring a thoughtful and deliberate approach that avoids unnecessary coverage losses.