The research organization published its annual survey of state Medicaid directors June 20.
CMS offered states several flexibilities as they worked to redetermine the eligibility of Medicaid beneficiaries for the first time since 2020. Continuous enrollment provisions put in place during the COVID-19 pandemic prevented states from disenrolling Medicaid members no longer eligible for the program until April 2023.
All 50 states surveyed told KFF they implemented strategies to improve their ex parte, or automatic renewal, processes. Thirty-seven states said they increased outreach to enrollees about the renewal process, and 31 increased their engagement with Medicaid managed care organizations in renewals.
Most state Medicaid directors surveyed said they wanted at least one of the flexibilities CMS allowed during the redeterminations process to become permanent.
Most directors surveyed said they wanted to continue accepting updated contact information for enrollees through verified postal service sources and from health plans. CMS has already made these policies permanent through regulatory changes, according to KFF.
Other strategies directors want to keep included:
- Allow automatic renewals for beneficiaries with $0 income: 29
- Renew coverage based on SNAP eligibility: 25
- Allow automatic renewal for individuals with low income: 17
- Allow Medicaid managed care organizations to assist with renewal: 15
Read the full survey here.
