With the onset of the COVID-19 public health emergency in March 2020, states have been prohibited from removing individuals from Medicaid for not meeting the eligibility standards for coverage. The Consolidated Appropriations Act of 2023 ends continuous Medicaid eligibility on Friday, March 31. Beginning Saturday, April 1, states will have 14 months to reverify the eligibility of all current Medicaid participants.

Currently, there are 1.4 million Missourians enrolled in MO HealthNet who must have their eligibility verified sometime during the next year. While it is certain that some current participants no longer qualify for coverage, the vast majority still do. For the first time in more than three years, the state now must document that participants, in fact, qualify for their coverage to continue.

Eligible participants who fail to complete the required verification of their eligibility will lose their coverage. Hospitals can reduce this risk by helping their Medicaid-covered patients complete the state’s review process.

The Missouri Hospital Association compiled resources and strategies that hospitals can use to help their patients prepare for and successfully verify their eligibility. This compendium, “PHE Unwinding: The Reverification of Medicaid Participant Eligibility,” is accessible on MHA’s website and will be updated frequently with news, policy updates and performance data as Medicaid reverification progresses. In addition, copies of public awareness flyers to display in patient waiting and contact areas will be mailed this week to your hospital’s public relations representative.

For questions about the state’s Medicaid reverification process or available MHA resources, please contact me at bkinkade@mhanet.com, or 573.893.3700, ext. 1338.

Reference:

Brian Kinkade, Vice President
Children’s Health and Medicaid Advocacy
573.893.3700
bkinkade@mhanet.com