Humana | Assisting Members impacted by loss of Medicaid Status

March 17, 2023

Medicaid Redetermination:
Assisting Members impacted by the loss of Medicaid Status


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

For more information, contact a Pinnacle Financial Services representative today

1 (800) 772-6881 x7731 | sales@pfsinsurance.com

Contact a Pinnacle Representative if you have any questions.

1 (800) 772-6881


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