";s:4:"text";s:22677:"The toolkit will be updated on an ongoing basis. The continuous enrollment requirement will last until the end of the month in . Updated as of September 9, 2021 Jan, 21, 2022 Tracking the Data on Medicaid's Continuous Coverage Unwinding Emily Zylla and Elizabeth Lukanen, SHADAC Medicaid and Children's Health Insurance Plan (CHIP) programs have played a key role in the response to the COVID-19 pandemic, providing a vital source of health coverage for millions of people. 81 Key Flexibilities Offered During the . For context, the most recently released data from the Centers for Medicare and Medicaid Services (CMS) Performance Indicator Project show Medicaid and Children's Health Insurance Program (CHIP . However, the estimates range widely across reporting states from about 8% to over 30% of total enrollees. Unwinding from the PHE. As a condition of receiving enhanced federal funding under the Families First Coronavirus Response Act (FFCRA), states are prohibited from terminating individuals enrolled in Medicaid as of March 18, 2020, or determined eligible on or after that date. The highly anticipated guidance clarifies CMS expectations for state Medicaid and CHIP agencies as they prepare to process outstanding eligibility and enrollment actions when the federal Medicaid continuous coverage requirement ends. The increase is largely due to the COVID-related requirement that states keep Medicaid enrollees continuously covered during the public health emergency (PHE). The United States might see one of . Kinda Serafi and Patricia Boozang, Manatt Health. Continuous Coverage Requirement. Backdrop for "Unwinding" Continuous Coverage Requirements *E.g., parents and pregnant women **Includes children enrolled in Medicaid and CHIP Note: The number of states reporting data varies by month 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0% 40.0% 45.0% Median Growth in State Medicaid/CHIP Enrollment, from February 2020 All Eligibility . "Then . a Medicaid and CHIP Continuous Enrollment toolkit in English and Spanish with to help inform beneficiaries about next steps to renew coverage. From February 2020 to January 2022, total Medicaid/CHIP enrollment has increased by 15.7 million enrollees (22.1%). Close collaboration between states and managed care plans will be essential to ensuring eligible individuals retain coverage in Medicaid/CHIP and easing transitions to the Marketplace. Background. "Unwinding" is the process by which states will resume annual Medicaid eligibility reviews after the PHE ends. The Urban Institute recently released a new report projecting that Medicaid and CHIP will have provided access to health care (and peace of mind) for an additional 17 million children and adults by the end of 2021. Application Processing Federal Requirements 42 C.F.R. Medicaid and CHIP enrollment grew from roughly 71 million adults and children to roughly 85 million in that time. 2 • Families First (March 2020) required states to keep most people enrolled in Medicaid during the COVID-19 Public Health Emergency (PHE) Medicaid agencies can only terminate coverage if moved out of state, died, or requested termination • Medicaid agencies have been doing renewals, but can't end coverage if These continuous coverage requirements run through the end of the month of the . It was renewed by the Department of Health and Human Services in January 2022. In 20 states able to report, it is estimated that about 13% of Medicaid enrollees will be disenrolled when the continuous enrollment requirement ends. When the emergency end date is announced, we want members to know that we will send information their way. The toolkit . Now, with the pandemic's acute phase seemingly drawing to an end, millions of low-income and middle-income Americans are at risk of losing health insurance. States Are Planning for the End of the Continuous Enrollment Requirement in Medicaid After the COVID-19 Public Health Emergency Expires, But Many Have Not Made Key Decisions 50-State Survey Finds. Print The FFCRA provides states with a temporary 6.2 percentage point increase in the federal medical assistance percentage (FMAP) if they meet certain conditions, including a continuous enrollment requirement for most Medicaid beneficiaries who were enrolled in the program as of or after March 18, 2020. When continuous enrollment is discontinued, states will restart eligibility redeterminations for Medicaid enrollees. Contact Senior Director of Policy Erin O'Malley at eomalley@essentialhospitals.org or 202.585.0127 with questions. When the end of national federal health emergency is declared, states will need to evaluate every single one of those 85 million Medicaid beneficiaries. Centers for Medicare & Medicaid Services This product was produced at U.S. taxpayer expense. Unwinding from the PHE. We don't know when it will end, but ongoing membership and access to BadgerCare Plus and Medicaid benefits will continue until we tell members otherwise. Continuous eligibility: States have the option to give children approved for Medicaid 12 months of continuous eligibility regardless of income changes during those 12 months. States Providing Continuous Eligibility The following states provide 12-month continuous eligibility for Medicaid and/or CHIP; the exceptions are specified. The program continues to grow. CMS Releases New Guidance on Unwinding the Medicaid Continuous Coverage Requirement March 4, 2022 Tricia Brooks Yesterday, CMS released additional guidance and tools for states and Medicaid stakeholders on resuming routine operations when the Medicaid continuous coverage provision is lifted at the end of the public health emergency (PHE). Continuous Coverage Requirement. States can provide 12 months of continuous eligibility for adults through a waiver. - Medicaid disaster SPA - CHIP Disaster SPA July 14, 2021 PHE Ends Continuous Enrollment PHE Timeline as of April 21, 2021 6.2% FMAP April 21 HHS PHE Renewed Flexibilities, enhanced match and MOE continue 81 Key Flexibilities Offered During the . Indeed, enrollment data from the Centers for Medicare & Medicaid Services (CMS) show that child enrollment in Medicaid and CHIP increased by more than 14 percent between February 2020 and December 2021, equal to about 5 million kids gaining coverage. 5376, the Build Back Better Act (BBBA), which is now being considered by the U.S. Senate.State Medicaid officials are particularly interested in the BBBA's provisions related to the Medicaid continuous coverage requirement and the associated federal medical assistance percentage (FMAP) increase. Promoting Continuity of Coverage and Distributing Eligibility and Enrollment Workload in Medicaid, CHIP and the Basic Health Program Upon the Conclusion of the COVID-19 Public Health Emergency Notices, Fair Hearings and CHIP Reviews; and Strategies for Promoting Continuity of Coverage and Mitigating Churn 6 State Health Official Letter #22-001 2 • Families First (March 2020) required states to keep most people enrolled in Medicaid during the COVID-19 Public Health Emergency (PHE) Medicaid agencies can only terminate coverage if moved out of state, died, or requested termination • Medicaid agencies have been doing renewals, but can't end coverage if When the COVID-19 public health emergency ends (PHE), state Medicaid agencies face the daunting task of resuming normal eligibility and enrollment operations after a nearly two-year pause. This toolkit highlights opportunities for states to leverage managed care plans to support unwinding the Medicaid continuous coverage requirement. Medicaid agencies should first attempt to complete an automated renewal based on information available to them — some as wage information from state databases or information in Supplemental Nutrition Assistance Program (SNAP) files. At that time, states will resume normal eligibility and enrollment processes, including redetermining eligibility. Medicaid and CHIP Continuous Enrollment Unwinding A Communications Toolkit This toolkit has important information to help inform people with Medicaid or CHIP about steps they need to take to renew their coverage. When continuous enrollment discontinues, states will resume the administration of renewals for Medicaid . States' authority to maintain continuous coverage for Medicaid/CHIP enrollees is currently slated to expire at the end of December 2021, when the federal COVID-19 PHE ends. Unwinding protections in the Medicaid program represents "one of the biggest coverage events" since the Affordable Care Act's (ACA) implementation, but in reverse, Serafi told MedPage Today. On November 19, 2021, the U.S. House of Representatives passed H.R. Provisions in the Families First Coronavirus Response Act (FFCRA) require states to maintain continuous Medicaid enrollment for enrollees until the end of the month when the COVID-19 public health. § 435.912 requires states to determine eligibility promptly and without undue delay, not to exceed the following maximum days for any given applicant: 90 days for applicants who apply for Medicaid on the basis of disability and 45 days for all other applicants. The Families First Coronavirus Response Act (FFCRA) Medicaid "continuous coverage" requirement has allowed people to retain Medicaid coverage and get needed care during the pandemic. Unwinding Guidance. The Medicaid and CHIP Continuous Enrollment Unwinding Communications Toolkit provides states and groups that assist people with Medicaid coverage with messaging strategies, including social media and outreach products, email and text message templates, and call center scripts. However, the estimates range widely across. In 20 states able to report, it is estimated that about 13% of Medicaid enrollees will be disenrolled when the continuous enrollment requirement ends. "Promoting Continuity of Coverage and Distributing Eligibility and Enrollment Workload in Medicaid, the Children's Health Insurance Program (CHIP), and Basic Health Program (BHP) Upon Conclusion of the COVID-19 Public Health Emergency", March 3, 2022: SHO# 22-001; "Medicaid and Children's Health Insurance Program COVID-19 Health . the centers for medicare and medicaid services (cms) released new guidance in march 2022 emphasizing continuity of coverage for enrollees after the end of the continuous enrollment requirement, and. Promoting Continuity of Coverage and Distributing Eligibility and Enrollment Workload in Medicaid, the Children's Health Insurance Program (CHIP), and Basic Health Program (BHP) Upon Conclusion of the COVID-19 Public Health Emergency (PDF, 815.14 KB) (Posted 3/3/2022) Nicknamed "the unwinding," the complexity . For context, the most recently released data from the Centers for Medicare and Medicaid Services (CMS) Performance Indicator Project show Medicaid and Children's Health Insurance Program (CHIP . - Medicaid disaster SPA - CHIP Disaster SPA July 14, 2021 PHE Ends Continuous Enrollment PHE Timeline as of April 21, 2021 6.2% FMAP April 21 HHS PHE Renewed Flexibilities, enhanced match and MOE continue Some states include exceptions to their continuous eligibility period and may also limit it to a subgroup of their CHIP eligible population. During the PHE, states were required to keep all Medicaid beneficiaries continually enrolled in order to qualify for additional federal Medicaid matching funds. Is discontinued, states will resume the administration of renewals for Medicaid continuously. Produced at U.S. taxpayer expense at that time, states will resume the administration of renewals for Medicaid.... 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