CMS Requires States to Pause Disenrollments and Reinstate Coverage for Impacted Individuals
Today, the U.S. Department of Health and Human Services is announcing that it has helped half a million children and families regain their Medicaid and Children’s Health Insurance coverage. On August 30, the Centers for Medicare & Medicaid Services issued ato states about a potential state systems issue where systems were inappropriately disenrolling children and other enrollees, even when the state had information indicating the person remained eligible.
“Thanks to swift action by HHS, nearly half a million individuals, including children, will have their coverage reinstated, and many more will be protected going forward. HHS is committed to making sure people have access to affordable, quality health insurance – whether that’s through Medicare, Medicaid, the Marketplace, or their employer,” said HHS Secretary Xavier Becerra.
CMS’ letter on August 30 alerted states to a potential eligibility systems issue related to automatic renewals for Medicaid and CHIP coverage. Auto-renewals are one of the strongest tools that states have to keep eligible people enrolled in Medicaid or CHIP coverage during the renewals process. Federal rules require states to use information already available to them through existing reliable data sources to determine whether people are still eligible for Medicaid or CHIP.
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