Helping employers and employees prepare for Medicaid redetermination

Helping employers and employees prepare for Medicaid redetermination

Medicaid redetermination: What to know

What is Medicaid redetermination?

  • As part of the Public Health Emergency (PHE) in place since March 2020, the Families First Coronavirus Response Act (FFCRA) prohibited states from disenrolling any Medicaid recipient during the PHE in order to help ensure continuous coverage and growing this population significantly. 
  • The omnibus bill signed by the federal government in Dec 2022 decoupled Redeterminations from the PHE which will require states to resume annual Medicaid eligibility verification beginning April 1, 2023.

Why does it matter?

  • Approximately 15-18 million people could lose their Medicaid coverage during this redetermination process
    • Impact varies by state
    • Estimated up to 40% eligible for employer plan
  • States can begin reaching out to beneficiaries as early as Feb 1, 2023 to inform them of the change
    • Redetermination cycle from April 1, 2023 through March 21, 2024
    • Timing and notifications varies by state
    • Heavy concentration mid-year 2023
  • Employers can learn more in this flier.

How can Employers help support Employees?

Consider notifying your employees about the ability to access coverage and share the following resources:

  • Share the attached flier to learn options Member RDT Flier
  • Visit to learn more about Medicaid renewal and other health insurance options including Medicare and plans offered through the Health Insurance Marketplace
  • Call HealthMarkets 1-888-595-3645 to talk with a licensed HealthMarkets’ insurance agent who can help identify coverage options

Questions? Contact your Broker or UnitedHealthcare representative for more information