COVID Unwind Resources – External

February, 2024

Covering Florida | Consumers can also go directly to the Covering Florida website to schedule their own appointment.
CMS letter to State Health Officials (SHO) letter outlining new requirements that impact state activities in unwind from the COVID-19 public health emergency. The SHO also addresses changes to the conditions which states must meet to receive increased federal medical assistance percentage (FMAP), reporting requirements, and new enforcement authority for CMS to ensure state compliance with eligibility redetermination and reporting requirements.
CMS guidance on a temporary Exceptional Circumstances Special Enrollment Period (SEP) for consumers losing Medicaid or CHIP coverage due to unwinding of the Medicaid continuous enrollment condition. New flexibility will be provided by facilitating access on HealthCare.gov to an SEP, referred to as the “Unwinding SEP.”
Centers for Medicare and Medicaid Services (CMS) Informational Bulletin | On Jan 5, 2023, CMS issued an informational bulletin that provided key dates related to the expiration of Medicaid continuous enrollment condition, including an end date of March 31, 2023. States will have up to 12 months to initiate, and 14 months to complete, a renewal for all individuals enrolled in Medicaid and the Children’s Health Insurance Program (KidCare).
ASPE Projections of Enrollment Impacts of Expiration of COVID Medicaid Continuous Enrollment Provision (August 19, 2022) This report includes HHS estimates regarding the number of individuals nationwide who are predicted to lose Medicaid coverage after the PHE ends. The report includes those who will lose Medicaid because they are no longer eligible (8.2 million), as well as those who are still eligible but will likely lose Medicaid due to administrative issues (6.8 million). An estimated 383,000 current Medicaid recipients in non-expansion states will fall into the “coverage gap“.
Centers for Medicare and Medicaid Services (CMS) | Updated Guidance Related to Planning for the Resumption of Normal CHIP and BHP Operations Upon Conclusion of the COVID-19 PHE (March 2022)
CMS | Summary of Best and Promising State Practices from CMS/State Discussions
CMS | Overview of Strategic Approach to Engaging Managed Care Plans to Maximize Continuity of Coverage as States Resume Normal Eligibility and Enrollment Operations
Notice of Case Action: Medicaid Approval and Ineligible Determination | The Florida Department of Children and Families (DCF)’s Notice of Case Action sent to current Medicaid enrollees who have maintained eligibility due to the PHE. The Notice underscores the need to contact DCF with any updates.
Covering Florida Navigators, part of Florida Covering Kids & Families (FL-CKF), provides outreach and enrollment services free of charge to Floridians looking for healthcare options through the Federal Health Insurance Marketplace. Local navigator contact information can be found here.
Kaiser Family Foundation | States Project Declining Medicaid Enrollment, Slower Total Spending Growth & Rising State Costs After the PHE Expires
Kaiser Family Foundation | What Happens When COVID-19 Emergency Declarations End? Implications for Coverage, Costs, and Access
This 50-state report conducted by Kaiser Family Foundation and the Georgetown University Center for Children and Families in January 2022 presents a snapshot of actions states are taking to prepare for the lifting of the continuous enrollment requirement, as well as key state Medicaid enrollment and renewal procedures in place during the PHE.
Health Management Associates | HMA Weekly Roundup
National Health Law Program | Unwinding the COVID-19 Public Health Emergency: Checklist of Redeterminations
Center on Budget and Policy Priorities | Webinar Series – Unwinding the COVID-19 Medicaid Continuous Eligibility Provision
The federal government maintains a website for all material related to the unwinding of the continuous Medicaid coverage provision.
Health News Florida | Plaintiffs push back in fight over Florida’s Medicaid unwinding

COVID Unwind Resources – External

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