June 2022
Medicaid Experts at Sellers Dorsey joined the Association for Community Affiliated Plans (ACAP) to provide insights on the latest CMS guidance to assist states with planning efforts to resume Medicaid eligibility redeterminations, the impacts of the end of the public health emergency (PHE) on states, managed care organizations, and other stakeholders, and strategies for these various groups to consider as states plan for the end of the PHE.
Key Points:
- The COVID-19 PHE declaration, issued by the Department of Health and Human Services (HHS) under the authority of the Public Health Service Act, has been in effect since January 31, 2020.
- Throughout the PHE, states have been required to keep Medicaid beneficiaries enrolled in coverage as a condition of receiving a 6.2% Federal Medical Assistance Percentage (FMAP) increase (enhanced FMAP).
- Since the onset of the PHE declaration, Medicaid and CHIP enrollment increased by over 15 million people (20%) to a record high of over 80 million enrollees.
- As the PHE begins to wind down, states must prepare to resume the redetermination process for Medicaid enrollees that have retained coverage during the PHE.
