As the nation prepares to unwind federal policies put in place during the COVID-19 public health emergency, states are gearing up for Medicaid redeterminations this spring.
The nation has been under continuous Medicaid/CHIP enrollment since early 2020, which raised total enrollment by 20.2 million through October 2022 — a more than 28 percent increase in the program. On April 1, most states will resume determining who is and is not eligible for Medicaid, leaving up to 18 million people nationwide without health coverage, according to recent estimates.
States have been able to begin the unwinding process as early as Feb. 1 by initiating renewals that may result in eligibility terminations on or after April 1. For states that started before April, terminations may not be effective earlier than April 1.
When each state will begin terminating Medicaid coverage, per CMS: