The Situation Report | March 13, 2023
Individuals on Medicaid will have their eligibility redetermined under a renewal process that was suspended during the COVID-19 pandemic.
This is the result of the federal Consolidated Appropriations Act of 2023 which ends the Medicaid continuous coverage requirement that has been in place since March 2020. Medicaid eligibility systems and processes are being readied for restarting Medicaid redeterminations, and returning to pre pandemic regular Medicaid program rules and operations (the “Unwind”).
The state Department of Health (DOH) is restarting the process of Medicaid renewals. The renewal process will take up to 14 months to complete and will begin and continue monthly as following:
- The New York City (NYC) Human Resources Administration (HRA) will begin sending notices at the end of March 2023 for June 30, 2023 end dates.
- Districts outside of NYC will begin sending notices in April 2023 for June 30, 2023 end dates.
- Approximately one twelfth (1/12) of the caseload will be subject to renewal each month.
Home care providers and managed long term care plans should advise their patients/members that the Medicaid renewal process is restarting and that they should check their mail as member action is required to maintain Medicaid coverage, including updating contact information and responding to renewal notices.
A good resource is the Communications Toolkit.
Also available are several outreach and marketing resources to help inform New Yorkers enrolled in Medicaid about the important steps they need to take to renew their coverage (Important Changes to New York Medicaid, Child Health Plus and the Essential Plan | NY State of Health).