1 Year Later: How Has the Unwinding of Medicaid Continuous Enrollment Gone?


During the Covid-19 pandemic, a continuous enrollment provision prevented states from disenrolling Medicaid beneficiaries regardless of eligibility. When this provision ended a year ago, states began redetermining eligibility. Disenrollment rates vary by state, with 19.2 million people disenrolled from Medicaid, while 40.6 million had coverage renewed. Experts note challenges with eligibility systems and concerns for the uninsured. Some successful outreach campaigns have helped with renewals, but communication issues persist, especially for Spanish speakers. Experts believe the unwinding process will affect uninsurance rates, but the full impact remains unknown. States plan to resume the annual eligibility checking process post-pandemic. CMS is extending a special enrollment period to help those transitioning from Medicaid to Marketplace coverage.

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