CMS releases more guidance for states unwinding Medicaid continuous enrollment requirement

Jan 30, 2023 - 04:06 PM
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The Centers for Medicare & Medicaid Services Friday released additional guidance on changes to the Medicaid continuous enrollment requirement under recently enacted legislation funding the federal government through fiscal year 2023. The Families First Coronavirus Response Act required states claiming a temporary 6.2 percentage point increase in the Federal Medical Assistance Percentage to continue Medicaid coverage for most enrollees through the COVID-19 public health emergency. Under the Consolidated Appropriations Act of 2023, the Medicaid continuous enrollment requirement will end April 1; the temporary FMAP increase will phase down beginning April 1 and end on Dec. 31. The Act also establishes new state reporting requirements and enforcement authorities for the Centers for Medicare & Medicaid Services, as discussed in the guidance.

CMS also released guidance on an Exceptional Circumstances Special Enrollment Period for eligible consumers losing continuous Medicaid or CHIP coverage to enroll in Marketplace coverage between March 31, 2023 and July 31, 2024.

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