CMS outlines Medicaid redetermination strategies for states

Medicaid redeterminations will begin on April 1, and CMS has released guidance on how states can work with managed care plans to prepare for the return to regular eligibility and enrollment operations. 

CMS said in the recently released 30-page report that close collaboration between states and managed care plans can "help ensure eligible enrollees retain coverage in Medicaid and CHIP and ease transitions for individuals eligible for coverage through the marketplace."

The report outlines four strategies states can use to work with managed care plans:

1. Partnering with plans to obtain and update beneficiary contract information.

2. Sharing renewal files with plans to conduct outreach and provide support to beneficiaries enrolled in Medicaid during their renewal period. 

3. Enabling plans to conduct outreach to beneficiaries who have recently lost coverage for procedural reasons. 

4. Permitting plans to assist individuals to transition to and enroll in marketplace coverage if eligible for Medicaid and CHIP.  

The report also outlines five scenarios to help clarify potential practical applications of the strategies. 

Read the full report here

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