The Medicaid and CHIP Payment and Access Commission (MACPAC) convened a panel to discuss the process for restarting Medicaid eligibility redeterminations when the public health emergency (PHE) ends. The Families First Coronavirus Response Act (FFCRA) enacted continuous coverage for Medicaid enrollees to ensure that individuals do not lose coverage during the pandemic. In turn, states took action to prevent terminations, but this resulted in the need for states to conduct redeterminations for all enrollees when the continuous coverage provision expires one month after the PHE ends.
Panelists representing the consumer perspective and state Medicaid agencies discussed how states need guidance from the Centers for Medicare and Medicaid Services (CMS) to be issued swiftly and provide the flexibility on timing to address the backlog of redeterminations. The Commissioners agreed that two related topics need to be addressed: 1) providing timely CMS guidance that allows states flexibility to conduct redeterminations over a year; and 2) extending the increased FMAP to account for a larger Medicaid-eligible population.