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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
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