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  • Writer's pictureVHIA

The End of Continuous Medicaid Coverage

During the COVID-19 Public Health Emergency (PHE), nearly all Medicaid members were able to stay enrolled in their current health coverage regardless of changes in eligibility or status. Legislation signed on December 29, 2022, allows states to begin removing ineligible members from their Medicaid programs starting April 1, 2023. When Medicaid renewals and yearly eligibility reviews start again, individuals will need to take action to keep their current coverage or, if they no longer qualify, find a new plan that's right for them.

When will Virginia begin initiating Medicaid eligibility reviews?

Virginia Medicaid will soon return to their normal enrollment processes. The continuous coverage requirement, which prevented state Medicaid agencies from reducing or ending Medicaid or FAMIS coverage regardless of changes in an individual’s circumstances, will end on March 31, 2023. Starting April 1, 2023, DMAS will begin conducting eligibility determinations and renewals for all Medicaid and FAMIS members. DMAS will have 12 months to initiate eligibility determinations and renewals for the more than 2.1 million Virginians who currently have Medicaid or FAMIS coverage

What are your options if you lose Medicaid coverage?

If you lose Medicaid coverage, we are here to help you understand your health coverage options. You may be able to enroll in an Individual plan. Eligible employees typically have an opportunity to sign up for coverage after a qualifying life event. Loss of coverage would enable individuals to sign up for a medical plan through a special enrollment period.

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