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During the COVID-19 Public Health Emergency, states were required to
maintain continuous Medicaid coverage for nearly all Medicaid
enrollees—irrespective of the enrollees’ actual ongoing eligibility. In exchange for providing this
continuous coverage, states temporarily received an extra 6.2% in federal matching Medicaid funds, or
Federal Medical Assistance Percentage (FMAP). As a result of the continuous coverage requirement,
Medicaid enrollment grew from 2020 to 2023 by approximately 23 million individuals nationwide, and by
1.5 million in Florida.
Congress ended the continuous coverage requirement effective March 31, 2023, and gave states 14
months (until May 31, 2024) to redetermine the eligibility of all Medicaid beneficiaries. This process is
being referred to as the Medicaid Unwind. The enhanced FMAP funding will be phased out over this
14-month period. As required by the U.S. Centers for Medicare & Medicaid Services (CMS), Florida’s
Department of Children and Families prepared a Redetermination Plan which set out its plans to
redetermine the eligibility of 4.9 million Medicaid enrollees in Florida beginning April 1, 2023.
