Starting in April, states will have the ability to resume the Medicaid Redetermination process after three years of being paused due to the COVID pandemic. States can begin to initiate the redetermination process as early as February 1, 2023, and disenrollments can be effective as early as April 1 if adequate notice is given to the enrollee. Each state will set the date for when redetermination will start.
Approximately15 million individuals will be at risk of losing Medicaid coverage. Anyone who is no longer eligible for Medicaid will be disenrolled. Wellcare members set to be disenrolled from their Medicaid plans will need your help to obtain new coverage and maintain continuity of coverage.
Be On the Lookout
Detailed communications will follow soon with state-specific information. Be sure to read these communications thoroughly and familiarize yourself with the processes and effected dates.
Let’s ensure members don’t experience a gap in coverage
Additional information will be provided at the state level as each state confirms their Medicaid Redetermination process initiation date. A follow-up communication will be sent at that time which will provide additional resources to help you in assisting your clients.
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