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2022 Year End Omnibus Legislation separates Medicaid renewal from the COVID-19 Public Health Emergency: what it means for you and your clients

Large Group, Small Group, Individual | CO, CT, IN, KY, ME, MO, NH, NV, OH, VA, WI, GA, NY-DOWNSTATE, NY-UPSTATE

During the COVID-19 Public Health Emergency (PHE), nearly all Medicaid and Children’s Health Insurance Program (CHIP) members were able to stay enrolled in their current health coverage regardless of changes in eligibility or status. Legislation signed on December 29, 2022, allows states to begin removing ineligible members from their Medicaid programs starting April 1, 2023.

When Medicaid renewals and yearly eligibility reviews start again, individuals will need to take action to keep their current coverage or, if they no longer qualify, find a new plan that’s right for them. We’re here to make sure they stay protected and covered with a plan that meets their needs and budget.

When will states begin initiating Medicaid eligibility reviews?

While the legislation does not specify dates and we await updated guidance, we expect states could begin Medicaid renewal and eligibility reviews as early as February 1, 2023 - up to 60 days prior to April 1, 2023.

You’ll play an important role in helping anyone who is losing Medicaid coverage understand all their options to stay covered. And we’ll be here supporting you with the resources and information you need to help them transition easily.

As more information becomes available, we will keep you updated through future Broker News posts like this one. Please follow our news at anthembrokerhub.com, or any of our news channels, for the latest updates.