April 24, 2023 -
New MHPA Resources on Redetermination, State Best Practices Now Available
After a three-year period in which Medicaid beneficiaries were not disenrolled, states must resume the process of redetermining eligibility. MHPA and our Medicaid managed care organizations (MCOs) are partnering with states to ensure that eligible individuals maintain Medicaid coverage, and those who no longer qualify for Medicaid have access to other coverage in the Marketplace. Our new educational videos and fact sheets take a deep dive into the unwinding process and provide strategies to help states navigate a smooth transition.
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.