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Medicaid Redetermination - Assisting Members impacted by loss of Medicaid Status

Posted by www.psmbrokerage.com Admin on Fri, Mar 17, 2023 @ 03:28 PM


What you should know

  • 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


  Important Resource: Medicaid Redetermination Resource Document

Related Article: https://www.psmbrokerage.com/blog/10-things-to-know-about-the-unwinding-of-the-medicaid-continuous-enrollment-provision 



Tags: Medicare Advantage, Medicare-Medicaid, Special Needs Plans

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