State updates as of November 10, 2023.

The Centers for Medicare & Medicaid Services released new data related to the unwinding of the federal Medicaid continuous coverage requirement, along with additional unwinding resources. This expert perspective reviews newly available Medicaid, Children’s Health Insurance Program (CHIP), and Marketplace data, and summarizes key findings pertaining to Medicaid and CHIP enrollment, applications, and renewals, as well as Marketplace transitions.

State updates as of November 3, 2023.

State updates as of October 27, 2023.

State updates as of October 20, 2023.

In response to guidance from the Centers for Medicare & Medicaid Services, many states are in the process of implementing mitigation strategies to ensure compliance with the federal renewal requirement to conduct ex parte at the individual level. States that are reinstating Medicaid or Children’s Health Insurance Program coverage for enrollees are required to notify individuals of their reinstatement and next steps with regard to renewing their coverage. SHVS has created notice language templates to provide states with models for communicating key information to enrollees regarding their reinstatement. This expert perspective also includes tips for writing and disseminating effective notices, based on feedback from Medicaid enrollees.

State updates as of October 13, 2023.

This expert perspective summarizes CMS’ recently released State Health Official letter providing guidance on the requirement in Section 5112 of the Consolidated Appropriations Act, 2023 (CAA) that all states must adopt 12-months of continuous enrollment (CE) for children effective January 1, 2024. Key topics addressed in the guidance include the specific eligibility groups subject to CE under the CAA, the limited exceptions under which CE may be discontinued prior to 12 months, the impact of CE on children in carceral settings, and implementation requirements for states.

On September 29, the Centers and Medicare & Medicaid (CMS) published a new release of state-reported Medicaid unwinding data through its Unwinding and Returning to Regular Operations after COVID-19 landing page. Like previous releases of data, CMS includes national and state-specific metrics pertaining to Medicaid and CHIP eligibility renewal outcomes and total enrollment in June (and preliminary data for July). This month, as part of its timeline of planned data releases, CMS newly shared more comprehensive data on Marketplace enrollment and transitions—including cumulative enrollment data between April and June for HealthCare.gov, State-Based Marketplaces, and the Basic Health Programs—and separate CHIP enrollment in April 2023.

State updates as of October 6, 2023.