1 The Consolidated Appropriations Act 2023 decoupled the Medicaid continuous enrollment provision from the PHE and terminates this provision on March 31, 2023. States can resume Medicaid disenrollments, and phase down enhanced FMAP if they comply with certain rules.
2 It is estimated that a 5% decline in total enrollments and a 13% decline in enrollment will result in between 5.5 million to 14.2 million people losing coverage during the 12-month unwinding period.
3 There could be temporary loss of Medicaid coverage due to reasons like short-term changes in income or circumstances, not understanding notices and forms requesting additional information, etc. An estimate shows that among full-benefit beneficiaries enrolled in 2018, 10.3% had a gap in coverage of less than a year.
4 CMS requires states to develop operational plans for the unwinding process, that should describe priority renewals, and strategies to reduce inappropriate coverage loss during the unwinding process.
5 Under the Affordable Care Act (ACA), states are required to seek complete administrative renewals by verifying ongoing eligibility through available data sources, before sending a renewal form from an enrollee.
6 To reduce administrative burden, CMS has announced the waiver that will be available on a time-limited basis and will enable states to facilitate the renewal process for certain enrollees, to minimize procedural terminations.
7 When the continuous enrollment provision ends, certain individuals will be at an increased risk of losing Medicaid coverage or experiencing a gap due to barriers in the renewal process.
8 States can collaborate with health plans and community organizations at the continuous enrollment provisions to conduct outreach to endless about the need to complete their annual renewal during the unwinding period.
9 For system readiness reporting, states are required to demonstrate their eligibility systems for processing renewals, as they have not been conducting normal renewals during the continuous enrollment period.
10 CMS has issued guidelines to states to streamline processes and implement other strategies to reduce the number of people losing coverage despite their eligibility.
If you fail to enroll during the continuous enrollment period, or are disenrolled from Medicaid for some reason, you can still lower the costs of your prescription medications with the EzRx medications savings card, which is offered free of cost to all without regard to age, health issues, income, or employment status. You can use your EzRx prescription cost savings card to save up to 80% on all your prescription medications, at over 65,000 pharmacies all over the USA including CVS, RiteAid, Winn Dixie, Safeway, and Target. The drug discount card is offered Free of cost to all with no upfront costs or renewal charges. The card can be used for an unlimited number of fills and refills as it has no caps whatsoever. The medications savings card can be used to save on medication costs with insurance, as it works independently of insurance, and can be used for all those medications that are not covered by your insurance plan, or for which you have to pay high out-of-pocket expenses and copays. It has no expiration, and can be used by family members and friends also for an unlimited number of fills and refills. To get your FREE and pre-activated EzRx drug discount card, send the keyword “EXRX” to the phone number (844) 774-6337.
