With More than Half of Medicaid Enrollees Awaiting their Renewal Process, New Report Highlights Lessons Learned that Can Inform State Efforts and Reduce Disenrollments for “Procedural” Reasons


At the start of 2024, 9 months into states’ efforts to unwind the Medicaid steady enrollment provision and reverify enrollees’ eligibility, states have finished renewals for not up to part of all enrollees.

To realize a greater figuring out of what demanding situations states are dealing with and the consequences of various unwinding methods, KFF interviewed state Medicaid officers in Arizona, Indiana, and Pennsylvania, in addition to others concerned, together with representatives from Medicaid, controlled care plans, criminal support organizations, and Market navigators in Arizona, Florida, Indiana, and Pennsylvania. A new report highlights some key insights stemming from the ones interviews. For instance:

  • The quantity of renewals, methods problems, and staffing shortages have posed important demanding situations to states and, in flip, enrollees. In reaction, states have taken steps to streamline renewal processes and building up computerized renewals. As of December, all learn about states aside from Florida had followed waivers to extend computerized renewal charges, and state officers famous that flexibilities associated with verifying source of revenue and belongings had been maximum useful at expanding the ones charges.
  • States have extensively utilized an array of outreach methods and partnered with more than one entities concerned within the unwinding to succeed in Medicaid enrollees. All 4 states have larger communications with enrollees the use of emails, texts, and make contact with calls along with mailed notices. Alternatively, members within the states stated Medicaid renewal and termination notices can also be obscure, and lengthy name heart wait occasions impede the power of enrollees to get wanted assist.
  • Some people who are disenrolled from Medicaid for procedural causes are re-enrolling after an opening in protection. Whilst information at the proportion of other people reenrolling are restricted, learn about states are carrying out further outreach to enrollees who’ve been procedurally disenrolled to inspire them to finish the renewal procedure so they are able to reenroll if nonetheless eligible. Interview members reported that, even with enhanced Reasonably priced Care Act Market top class subsidies, affordability stays a barrier to enrollment for other people looking to transition from Medicaid to Market protection. The choice of other people disenrolled from Medicaid who join in Market protection stays modest in all 4 states, in keeping with the folks interviewed.

Nationally, the newest KFF monitoring displays just about 14.4 million other people were disenrolled and just about 27 million reenrolled in Medicaid protection. Whilst many who’re disenrolled would possibly churn again onto Medicaid or transition to different protection, many will most likely turn into uninsured.

The record, Unwinding of Medicaid Steady Enrollment: Key Topics from the Box, is to be had here.



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