Resources for States on Unwinding the Medicaid Continuous Coverage Requirement

State Health and Value Strategies (SHVS) developed this resource page to serve as an accessible one-stop source of information for states in “unwinding” the Medicaid continuous coverage requirement. The Families First Coronavirus Response Act (FFCRA) Medicaid continuous coverage requirement has allowed people to retain Medicaid coverage and get needed care during the pandemic. Congress passed the Consolidated Appropriations Act (CCA) on December 23, 2023, an omnibus funding package that separates the continuous coverage provision from the COVID-19 public health emergency by providing a fixed end date of March 31, 2023. The CCA also includes a gradual phase down of the enhanced federal match rate and new guardrails to prioritize coverage retention and smooth coverage transitions during the unwinding. When states restart eligibility redeterminations for Medicaid enrollees, while most people will continue to be eligible for Medicaid or marketplace coverage, the potential for loss of coverage for millions of Americans due to “administrative” reasons is significant, and Black, Latino(a) and other people of color will be most at risk. These resources are designed to support states planning for this major coverage event, including developing processes that prioritize coverage retention.

SHVS will update this page frequently with new resources as they become available.

SHVS Resources and Tools SHVS technical assistance resources on the unwinding of the Medicaid continuous coverage requirement

Please click on the links below to access topic-specific resources.

Health Equity

Data/IT	Eligibility and Enrollment Policy/Operations	Consumer Communications and Outreach
Oversight and Monitoring	Medicaid and Marketplace Integration	Federal Resources