North Carolina Medicaid disenrollment settlement could be model for other states

A settlement to prevent North Carolina Medicaid beneficiaries from being unfairly disenrolled could be a roadmap for other states as they brace for mass Medicaid disenrollments in 2023, NC Health News reported Dec. 21. 

In 2017, the state became overwhelmed with Medicaid reapplications, and many people's applications expired before state workers could review them. 

The Charlotte Center for Legal Advocacy filed a lawsuit against the state Health and Human Services Department, arguing the state had violated the Social Security Act and 14th amendment by cutting off beneficiaries without reviewing applications. 

The two parties settled this fall, agreeing to changes in informing beneficiaries about changes to their insurance, improved instructions for the redetermination process and a detailed process for extending Medicaid benefits due to disability, NC Health News reported. 

The settlement could offer a roadmap for other states, attorneys for the Charlotte Center for Legal Advocacy said. States are preparing for up to 18 million beneficiaries being dropped from Medicaid when pandemic-era continuous enrollment requirements end. 

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