Medicaid Renewal Broker Resource Toolkit

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On June 29, our Anthem experts shared updates on the current state of Medicaid eligibility reviews and timelines, addressed coverage scenarios, and focused on how we’re helping disenrolled members avoid gaps in care. And as promised, they answered dozens of your questions.

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During the COVID-19 Public Health Emergency, nearly all Medicaid members were able to stay enrolled in their current health coverage regardless of changes in eligibility or status. Legislation was signed in December 2022, allowing states to begin removing ineligible members from their Medicaid programs as early as April 1, 2023.

This means millions of people may no longer qualify for Medicaid coverage and will be looking for answers, guidance and health coverage. You can partner with them for help.

We expect many disenrolled individuals will seek coverage from their employer (see Rhonda’s story below) or look to individual ACA-compliant plans. Either way, you play an important role in helping them understand all their options to stay covered.

Here you’ll find tools, resources and information so you can guide these individuals to the right solution for their needs and help them transition easily.

Coverage options for individuals
Medicaid.gov
Medicaid state profiles
Resources to share with your clients

Meet Rhonda*

In 2020, Rhonda became unemployed and enrolled in Medicaid coverage. During the summer of 2021, she started a new job.

*Rhonda's story represents a potential member journey and is hypothetical in nature.

When the open enrollment season began that fall, Rhonda waived employer-sponsored coverage with her employer and maintained her Medicaid benefits.

When Medicaid renewals and eligibility reviews resume, Rhonda realizes she will no longer qualify for Medicaid coverage because her income has changed.

Rhonda asks her company's Human Resources contact for employer-sponsored health plan information. She will be eligible to sign up outside of the open enrollment period due to her qualifying life event.

She discusses her options with her Human Resource contact, including an employer-sponsored plan with Anthem.

Resources you can share with your clients

Medicaid Renewal Prospect Broker sheet
Fillable flyer to give you an opportunity to promote selling during Medicaid Renewal period.
States:
VA
See All Details
Medicaid Spanish Renewal Prospect Broker sheet
Fillable flyer in Spanish to give you an opportunity to promote selling during Medicaid Renewal period.
States:
VA
See All Details
Coverage options for individuals
A site with information about coverage options.
States:
CO, CT, IN, KY, ME, MO, NH, NV, OH, VA, WI, GA
See All Details
Employee coverage options flyer
A flyer that explains coverage options and provides more information about coverage types.
States:
CO, CT, IN, KY, ME, MO, NH, NV, OH, VA, WI, GA
See All Details
Employee resources flyer*
A flyer for members who might be losing their coverage that explains next steps. *This marketing material is not yet approved in all states.
States:
CO, CT, IN, KY, ME, MO, NH, NV, OH, VA, WI, GA
See All Details
Employer toolkit
Information and resources for employers to help their employees who could be losing Medicaid coverage.
States:
CO, CT, IN, KY, ME, MO, NV, OH, VA, WI, GA
See All Details
Printable information flyer
A printable flyer that provides information about the end of continuous Medicaid coverage.
States:
CO, CT, IN, KY, ME, MO, NH, NV, OH, VA, WI, GA
See All Details