Lastly, states are required to maintain up to date contact information and attempt to contact enrollees prior to disenrollment when mail is returned.Ģ. Further, states must also comply with federal rules about conducting renewals. They cannot restrict eligibility standards, methodologies, and procedures and cannot increase premiums as required in FFCRA. States will be eligible for the phase-down of the enhanced FMAP (6.2 percentage points through March 2023 5 percentage points through June 2023 2.5 percentage points through September 2023 and 1.5 percentage points through December 2023) if they comply with certain rules.
Starting April 1, 2023, states can resume Medicaid disenrollments. The Consolidated Appropriations Act, 2023 decouples the Medicaid continuous enrollment provision from the PHE and terminates this provision on March 31, 2023. The continuous coverage provision increased state spending for Medicaid, though KFF has estimated that the enhanced federal funding from a 6.2 percentage point increase in the federal match rate (FMAP) exceeded the higher state costs. By preventing states from disenrolling people from coverage, the continuous enrollment provision has helped to preserve coverage during the pandemic. This provision requires states to provide continuous coverage for Medicaid enrollees until the end of the month in which the public health emergency (PHE) ends in order to receive enhanced federal funding. Overall enrollment increases may reflect economic conditions related to the pandemic, the adoption of the Medicaid expansion under the Affordable Care Act in several states (NE, MO, OK), as well as the continuous enrollment provision included in the Families First Coronavirus Response Act (FFCRA). Total Medicaid/CHIP enrollment grew to 91.3 million in October 2022, an increase of 20.2 million or more than 28.5% from enrollment in February 2020 (Figure 1). Medicaid enrollment has increased since the start of the pandemic, primarily due to the continuous enrollment provision. This brief describes 10 key points about the unwinding of the Medicaid continuous enrollment requirement, highlighting data and analyses that can inform the unwinding process as well as recent legislation and guidance issued by the Centers for Medicare and Medicaid Services (CMS) to help states prepare for the end of the continuous enrollment provision. States that accept the enhanced federal funding can resume disenrollments beginning in April but must meet certain reporting and other requirements during the unwinding process. As part of the Consolidated Appropriations Act, 2023, signed into law on December 29, 2022, Congress set an end of Mafor the continuous enrollment provision, and phases down the enhanced federal Medicaid matching funds through December 2023. But, when the continuous enrollment provision ends, millions of people could lose coverage that could reverse recent gains in coverage. Primarily due to the continuous enrollment provision, Medicaid enrollment has grown substantially compared to before the pandemic and the uninsured rate has dropped.
22, 2023, to include more recent and additional data.Īt the start of the pandemic, Congress enacted the Families First Coronavirus Response Act (FFCRA), which included a requirement that Medicaid programs keep people continuously enrolled through the end of the month in which the COVID-19 public health emergency (PHE) ends, in exchange for enhanced federal funding.
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