Medicaid Unwinding

Medicaid Unwinding

It's been over six weeks since the last time I checked in on how many Americans had lost Medicaid or CHIP coverage due to the ongoing Medicaid Unwinding process playing out nationally. At the time, "only" 612,000 people had been confirmed to have lost coverage purely due to procedural/red tape reasons (as opposed to others who lost coverage after being determined ineligible any longer).

The Kaiser Family Foundation (KFF) has taken up the mantle on this front, and the data so far, while still limited, is pretty much as bad as many healthcare advocates feared. Since then, a lot more data has been collected and the numbers have grown dramatically:

via New York State of Health:

  • Nearly Three Quarters of New Yorkers Enrolled in Medicaid, Child Health Plus or the Essential Plan Have Renewed Their Coverage by the June Deadline; Renewal Strategies Are Working; Others Still Have Time to Act
  • New York Outperforming National Average as Reported by KFF
  • Monthly Dashboard Tracks Renewal Status, Demographics, and State Program Transitions During Public Health Emergency Unwind  

ALBANY, N.Y. (July 18, 2023) – The New York State Department of Health today released the first issue of New York’s Public Health Emergency Unwind Dashboard, a monthly report reflecting data on renewal status, demographics, and program transitions for public health insurance enrollees, which shows renewal outreach strategies are working.  The report indicates that roughly 72 percent of New Yorkers enrolled in Medicaid, Child Health Plus or the Essential Plan renewed their coverage before the June deadline to re-enroll and those who haven’t still have time to act to avoid potential lapses in coverage. As reported by KFF, the national renewal rate for states reporting data is 59 percent.

via MNsure:

ST. PAUL, Minn.—As roughly 1.5 million Minnesotans who currently have Medical Assistance (Minnesota’s Medicaid program) or MinnesotaCare coverage are scheduled to go through the eligibility renewal process over the next year, some will find out they are no longer eligible for these public health care programs and need to find new health insurance. Minnesota’s official health insurance marketplace, MNsure, is here to help those Minnesotans find new coverage.

“If you learn you no longer qualify for Medical Assistance or MinnesotaCare coverage, you may have more health insurance options than you think,” said MNsure CEO Libby Caulum. “MNsure is here to help you and your family understand your options, apply for discounts to save money on monthly premiums, and make a smooth transition to a private health plan if you’re eligible. We can help you find new coverage so you can keep getting the care you need.”

New York

via New York State of Health:

June 30, 2023

Governor Kathy Hochul today encouraged eligible New Yorkers to renew their health insurance coverage as insurance renewal deadlines rapidly approach. The Governor also issued a public service announcement to get the message out to New Yorkers.

Connecticut

via Access Health CT:

These free, in-person events will take place in Bridgeport, East Hartford, Middletown and Torrington

HARTFORD, Conn. (June 27, 2023) — Access Health CT (AHCT) today announced it will host four free, in-person enrollment fairs in July and August to help HUSKY Health enrollees who have been affected by recent legislation. The events will take place in Bridgeport, East Hartford, Middletown and Torrington. HUSKY Health is Connecticut’s Medicaid program.

Medicaid Unwinding is a term the federal government is using to describe the process of resuming reviewing households for Medicaid eligibility after a three-year hiatus during the Public Health Emergency. The eligibility redetermination process resumed April 1.

Connecticut residents that remain eligible for HUSKY Health will likely be automatically reenrolled; those that need to take action will receive mail with instructions.

via Nevada Health Link:

State Agencies Work Together to Keep Nevadans Insured

  • Nevada Health Link, Nevada Medicaid and Division of Welfare and Supportive Services (DWSS) continue to engage Nevadans whose health coverage may be impacted by the Public Health Emergency ending

(CARSON CITY, Nev.) – Nevada Health Link, Nevada Medicaid and the Division of Welfare and Supportive Services (DWSS) are working together to ensure Nevadans enrolled on Medicaid are informed about the Medicaid renewal process that has resumed as a result of the Public Health Emergency (PHE) ending. The state agencies are working to keep Nevadans insured by encouraging them to fill out their redetermination packets in the mail and if they are no longer eligible for Medicaid, to seek affordable health insurance coverage through the state marketplace, Nevada Health Link.

Medicaid Unwinding

A month ago I posted a post which included a very incomplete, rudimentary look at just how many Americans had lost Medicaid or CHIP coverage due to the ongoing Medicaid Unwinding process playing out nationally, based on initial data reported by Joan Alker, Executive Director of the Center for Children & Families at the Georgetown University Health Policy Institute:

...data is only available for 8 states so far; for another, the data from those states is a mish-mash, clearly broken out in some but only partial in others, and some only include percentages instead of hard numbers.

Even so, you can already see that at least 258,000 people have lost Medicaid coverage due to paperwork/clerical issues in just Arkansas and Florida alone...in just the first two months of the unwinding process.

via the Pennsylvania Dept. of Human Services website:

Erie, PA - Pennsylvania Department of Human Services (DHS) Acting Secretary Dr. Val Arkoosh and Pennie® Director of External Affairs Chachi Angelo joined representatives from Community Health Net today to highlight how the Shapiro Administration, Pennie, and local health centers are collaborating to support Pennsylvanians through federal changes to Medicaid and CHIP renewal requirements so they can protect their health and stay covered.  

“Everyone deserves the dignity and peace of mind of having access to affordable, high-quality, local health care and knowing they can go to the doctor when they need it. DHS’ goal throughout the renewal process is to make sure that all Pennsylvanians stay covered,” said Acting Secretary Arkoosh. “I urge all Pennsylvanians who get their health coverage through the state Medicaid program to be on the lookout for communications from DHS about your renewal, and to make sure you complete it on time when it’s your turn to renew.”  

via Connect for Health Colorado:

Colorado’s Marketplace Offers Free Enrollment Help and Low-Cost Health Plans

DENVER— For the first time in more than three years, Coloradans who are no longer eligible for Health First Colorado (Colorado’s Medicaid program) or Child Health Plan Plus (CHP+) will start to lose their coverage.

Why Coloradans Might Lose Health First Colorado (Colorado’s Medicaid Program)

This change was the result of federal legislation passed in winter of 2022: the Omnibus bill, otherwise known as the Consolidated Appropriations Act. It included a provision to end the requirement for states to keep individuals covered by Medicaid during the COVID-19 Public Health Emergency. 

The Department of Health Care Policy & Financing (HCPF) estimates that more than 325,000 current members will no longer be eligible for Health First Colorado coverage following their annual eligibility review. These eligibility reviews will be done in the anniversary month of when the person enrolled.

 

via Covered California:

Covered California Launches Statewide Push to Help Californians Stay Covered if They Lose Their Medi-Cal Eligibility

Covered California lanza una campaña estatal para ayudar a los californianos a permanecer cubiertos si pierden su elegibilidad para Medi-Cal

SACRAMENTO, Calif. — Covered California launched a virtual media tour on Wednesday to spread the word about the upcoming Medi-Cal to Covered California Enrollment Program and how it will help keep Californians covered. 

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