Annual Medicaid redetermination was paused during the Public Health Emergency (PHE)
February 1, states can begin their Medicaid Redetermination Process, with the potential for Medicaid disenrollment to start April 1, 2023
Each state determines when their redetermination process will begin
Impacted beneficiaries will be notified by the state approximately 60 calendar days prior to their disenrollment effective date from State Medicaid
What this means for you
You can prepare for Dual Eligible Members to complete the redetermination process for continued Medicaid Coverage
Dual Eligible Special Needs Plan (DSNP) members, who are found to be ineligible for Medicaid coverage, will need Agent assistance to obtain new coverage and maintain continuity of care
Non DSNP members, whose eligibility level changes, may also require a plan review to ensure they’re still on the plan best suited for them
Please remind impacted DSNP members of the following:
Confirm contact information is up to date with the state
Watch for mail from the state requesting additional documentation
Respond to any request from the state promptly and within deadlines