What you should know

• Annual Medicaid redetermination was paused during the Public Health Emergency (PHE)
• February 1, states can begin their Medicaid Redetermination Process, with the potential for Medicaid disenrollment to start April 1, 2023
• Each state determines when its redetermination process will begin
• Impacted beneficiaries will be notified by the state approximately 60 calendar days prior to their disenrollment effective date from State Medicaid

What this means for you

• You can prepare for Dual Eligible Members to complete the redetermination process for continued Medicaid Coverage 
• Dual Eligible Special Needs Plan (DSNP) members, who are found to be ineligible for Medicaid coverage, will need Agent assistance to obtain new coverage and maintain continuity of care
• Non-DSNP members, whose eligibility level changes, may also require a plan review to ensure they’re still on the plan best suited for them

Please remind impacted DSNP members of the following:

• Confirm contact information is up to date with the state
• Watch for a mail from the state requesting additional documentation
• Respond to any request from the state promptly and within the deadlines

Process at a glance

 Where to learn more

• Visit Ignite for a dedicated resource document to help assist agents with supporting members who may be at risk of losing their Medicaid coverage.

Learn More