Some Health Plans May Not Be Ready for Medicaid Redeterminations’ Comeback

Medicaid eligibility redeterminations will restart in just a few weeks, on April 1, but few beneficiaries know that they could lose health insurance benefits in the coming months, according to a new poll from the Urban Institute and Robert Wood Johnson Foundation (RWJF). Although some plans are taking proactive steps to manage eligibility checks, experts tell AIS Health, a division of MMIT, that many aren’t, despite the potential for significant losses of revenue for Medicaid managed care organizations (MCOs).

The Urban Institute-RWJF poll found that in December, 64.3% of adults had “heard nothing at all about the return to [the] regular Medicaid renewal process.” Rates of awareness of eligibility redeterminations varied little by region, with all regions reporting a lack of awareness between 61.3% and 67.6%. Differences were also marginal across expansion and non-expansion states.

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