AHCA/NCAL has prepared an array of resources on ahcancalED to help members manage significant numbers of Medicaid redeterminations with the upcoming end of the Public Health Emergency. 

Why it matters: Despite staff turnover in NF and AL business offices, providers need to ensure they have staff members with Medicaid redetermination experience.

• Since redeterminations were not conducted during the PHE, beneficiary information may be out of date (contact information, financial information, etc.).
• If a beneficiary loses Medicaid eligibility, Medicaid payments stop, and beneficiaries have very clear protections in federal law for when these breaks occur despite the loss of Medicaid payments.

For context: Since March 2020, states ceased Medicaid eligibility determinations and have been unable to disenroll any Medicaid beneficiaries from the Medicaid program.

• The freeze on redeterminations and prohibition on disenrollment were based upon federal statutory requirements states had to meet to receive the increased federal Medicaid funding of 6.2 percent over the course of the pandemic.
• With the PHE ending, states are returning to “regular” Medicaid redeterminations schedules.