Since March 2020, when the U.S. federal government declared the COVID-19 pandemic a national public health emergency (PHE), Medicaid members have been protected from losing their health insurance coverage. However, those coverage protections will end in April 2023.
As a result, Medicaid is resuming yearly eligibility reviews for Medicaid coverage. These coverage ‘redeterminations’ will take place over 12 months.
You can expect to be redetermined for Medicaid at least annually as states return to the standard redetermination process in the coming months. In most states, when you will get redetermined will be decided by the date you first began participating in the Medicaid program.
In some states, Medicaid will automatically process an individual’s renewal by matching their information against federal and state data. If your Medicaid renewal cannot be automatically processed, you will be contacted by your state Medicaid agency.
If you receive a renewal packet, it is very important that you respond to the request by the due date indicated. If you do not respond on time, you may lose Medicaid coverage.
Make sure your address, phone number, and email address are up-to-date with your state Medicaid office.
You should also report any changes in your household, like a new job, changes to your income, or disability status, to your local Medicaid office.
Many states now have online portals that you can use to update most of your information easily. Contact your state Medicaid office for more information.
Members in Massachusetts, Rhode Island, and Michigan can check out more details below.
The redetermination process will begin on April 1, 2023, with MassHealth auto-renewing members who are still eligible and outreaching to those who may be at risk of losing their eligibility. Redeterminations are expected to continue on a rolling basis through 2024.
MassHealth will send a blue envelope requesting information if your renewal cannot be automatically processed. You will have 90 days to respond to the request for information and then an additional 90-day renewal reconsideration.
To get the latest news and updates directly from MassHealth on the state’s redetermination process, sign-up here.
If you have questions or concerns or you get a blue envelope in the mail and need help with your renewal materials, call Member Services at 866-610-2273 (TDD/TTY 711). We have team members who can help.
For additional redetermination assistance, Massachusetts residents can call Health Care for All at 800-272-4232 (TDD/TTY 711) or the MassHealth Customer Service Center at 800-841-2900 (TDD/TTY 711).
In Michigan, Medicaid renewals are set to begin in June 2023. However, the Michigan Department of Health and Human Services (MDHHS) intends to send renewal notices three months before your expected renewal date. You can check your renewal month online through MI Bridges, the MDHHS online portal.
MDHHS is asking Medicaid members to verify or update their contact information online through MI Bridges or by calling their local MDHHS office. Find out more about redeterminations in Michigan here.
In Rhode Island, the redetermination process will begin in April 2023. The Rhode Island Department of Human Services has enhanced its Medicaid eligibility and enrollment system to automatically renew coverage for qualified individuals.
If coverage cannot be automatically renewed, the State will request information by mail or email, providing members 30 days to respond. Members can respond online through the HealthyRhode mobile app, by phone, or in person. Members can also receive updates and reminders regarding their coverage status via text message. If you do not have the HealthyRhode app, you can download it from the Apple App Store or Google Play. Find out more about redeterminations in Rhode Island here.
For additional redetermination assistance, Rhode Island residents can call HealthSource RI (HSRI) at 1-855-840-4774 or contact your local Department of Human Services office.
To obtain further help accessing your customer portal account or learn about technology resources available to you, call the United Way 211 line.
To learn more about how to qualify for Medicaid, read the following articles:
You can also visit the Centers for Medicare and Medicaid (CMS) site: https://www.cms.gov/