The end of the COVID-19 Public Health Emergency means that states are resuming normal Medicaid eligibility operations. Here's what to know about Medicaid redetermination, how it may affect your current Medicare coverage — and how SmartMatch can assist you.
What to know about Medicaid Redetermination
You may have gotten a letter in the mail from your state's Medicaid office explaining redetermination. Or maybe you heard about this in the news, or online. Since 2020, the normal Medicaid redetermination — also known as Medicaid renewal or recertification — has not occurred because of acts Congress passed to keep people continuously enrolled in Medicaid during the COVID-19 Public Health Emergency.
Now that the public health emergency is over, states are resuming normal Medicaid eligibility operations. This means redetermination is beginning again. For individuals enrolled in Medicaid prior to 2020, this might not be confusing. But for those who gained dual Medicaid and Medicare eligibility during the pandemic, this can be a confusing process — especially when states are using different timelines and plans for ensuring their Medicaid recipients are aware of the process.
Our licensed SmartMatch agents are ready to help you through Medicaid redetermination.
Have you received notice that your Medicaid coverage is ending?
Even if you've received a disenrollment notice, it's important to note you still have options.
- If you are notified your coverage is ending, you can request a hearing from your Medicaid agency before the cancellation takes effect.
- This will help ensure you stay covered during the appeals process.
- Many states let you attend hearings and reviews by telephone or video, including providing access to individuals with disabilities and those who have a different primary language than English.
- Even after being disenrolled, you may still have a 90-day window to restore coverage.
If you're in danger of losing coverage, contact SmartMatch today.
The Medicaid Redetermination 2023 Process
You receive a Medicaid redetermination letter in the mail from your state's Medicaid office.
Submit your required documents based on your state's Medicaid office requirements
Your state's Medicaid office reviews your eligibility, and will either approve or deny your eligibility.
If your eligibility changes, you will have the opportunity to enroll in a Medicare plan that fits your needs.
FAQs about Medicaid Redetermination
Medicaid follows a “redetermination” process to verify that Medicaid recipients are still eligible for benefits. You might also see this referred to as Medicaid renewal or Medicaid recertification. They do this annually and some states do it more often. This is done to ensure these benefits go to the people that need them. They suspended this practice due to the pandemic.
SmartMatch: Your Partner During Medicaid Redetermination
Whether your state has begun the redetermination process or not, SmartMatch Agents are standing by to assist you with any questions, concerns or help you may need during Medicaid renewal.
We can assist you in ensuring you understand your state's requirements for Medicaid renewal, pointing you to state-specific information.
If your Medicaid eligibility does not change — meaning no changes are necessary to your current Medicare plans — we can continue to help you evaluate and compare your coverage during normal Medicare enrollment periods.
If your Medicaid eligibility does change, have no fear: Our agents can help ensure that you understand all your options, and we'll provide you with up-to-the-minute information and plans to find coverage that meets your health and budget needs.
Call us with any questions throughout this process. We're ready to make this as easy as possible for you.
Medicaid Redetermination by State: Timeline & Helpful Links
The table below provides state-specific timelines and information about each state’sMedicaid renewal process for 2023. This information is subject to change, and is meant as guidance to help you determine what your state requires during this process.
The Redetermination Process Date indicates the likely earliest date range in which you can expect to receive a letter from your state's Medicaid program to begin the process. However, that communication might arrive earlier or later.
Many states are attempting to verify addresses and contact information. If you have moved in the last few years and have not updated your information, we recommend that you reach out directly to your state's Medicaid office to ensure you're not missing any mail or communication.
It's also important to note that many states offer the ability for you to handle the Medicaid redetermination process online. The links below can help you find the information you need.