On January 23, 2023, the Federal Communications Commission issued an important ruling that provides states with new flexibility to support enrollee outreach and communication efforts as part of their processes to unwind the Medicaid continuous coverage requirement. The ruling permits state agencies and their partners to send text messages and make phone calls to individuals about enrollment-related issues not only for Medicaid but for other state-run health insurance programs, including marketplace coverage. This expert perspective reviews the ruling and implications for states.
IT Systems and Data Strategies to Prepare for Medicaid Continuous Coverage Unwinding
Manatt Health and McKinsey & Company
On Wednesday, November 10 State Health and Value Strategies hosted a webinar that provided an overview of strategies for states seeking to ensure that eligible enrollees are able to keep or transition to new affordable health coverage when the Medicaid continuous coverage requirement ends.
Because of the Families First Coronavirus Response Act (FFCRA) “continuous coverage” requirement, many enrollees have not gone through the redetermination process in nearly two years; as such, the expected redetermination activity at the end of the continuous coverage requirement is unprecedented. As part of their planning for resuming eligibility and enrollment operations, states have an opportunity to retain coverage gains experienced over the pandemic period by taking steps to ensure that eligible enrollees are able to keep Medicaid/CHIP coverage, and those who are eligible for subsidized Marketplace coverage are transitioned and enrolled.
During the webinar experts from Manatt Health and McKinsey & Company discussed how states can prepare now for the end of the continuous coverage requirement by deploying strategies to update enrollee contact information, and make other eligibility and enrollment technology changes to better serve their residents. Presenters highlighted specific strategies to update and obtain key enrollee contact information described in the Updating Medicaid Enrollee Address Information and Responding to Returned Mail expert perspective and companion issue brief, The End of the COVID-19 Public Health Emergency: Data and IT “Table Stakes” for Retaining Coverage Gains. The webinar included a question and answer session.