Meetings & Presentations | Nov 29, 2022

Improving Ex Parte Rates to Support Unwinding

Patricia Boozang, Kinda Serafi and Kaylee O’Connor, Manatt Health

As states head into the final stretch of planning for the transition back to regular eligibility and enrollment (E&E) operations at the end of the federal public health emergency (PHE), many are working to strengthen their redetermination and renewal processes. Improving ex parte rates as part of the Medicaid renewal process is one of the most effective tools available to states to mitigate coverage loss for eligible individuals when the PHE ends.

State Health and Value Strategies hosted a working session for state officials responsible for operationalizing, refining, and overseeing eligibility and enrollment processes, including redeterminations/renewals and systems changes. The slide deck from the session provides an overview of ex parte processes and includes key ex parte resources in the appendix. The session provided state participants with the opportunity to pose questions to experts from Manatt Health regarding the issues they are facing as they work to improve their ex parte rates in preparation for the end of the continuous coverage requirements.


Expert Perspectives

May 24, 2023

State Dashboards to Monitor the Unwinding of the Medicaid Continuous Coverage Requirement

The unwinding of the Medicaid continuous coverage requirement represents the largest nationwide coverage transition since the Affordable Care Act, with significant health equity implications. Given the intense focus on coverage transitions during the unwinding, some states have initiated plans to publish a data dashboard to monitor progress. To date, the District of Columbia and 15 states have published unwinding data in a visual dashboard format (this does not include states with pre-existing enrollment dashboards that don’t specifically identify unwinding cohorts). This expert perspective now includes an interactive map with the links to all the dashboards and states publishing CMS unwinding reports. SHVS will continue to update the EP and map as more states publish their unwinding data.

May 12, 2023

Sequencing Communications to Encourage Coverage Transitions

The unwinding of the Medicaid continuous coverage requirement represents the largest nationwide coverage transition since the Affordable Care Act. This presents State-Based Marketplaces with an opportunity to target outreach efforts to those audiences who have recently lost Medicaid or CHIP to help eligible individuals retain access to affordable healthcare through the Marketplace. This expert perspective focuses on best practices for timing and strategy in consumer outreach to consumers that are no longer eligible for Medicaid to help states develop a consumer “chase campaign.”