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Medicaid Redetermination Coverage Transitions


Resource Details

During the COVID-19 public health emergency (PHE), Medicaid enrollment increased by 28.5% (20.2 million individuals). Some of these newly enrolled individuals are due to the expansion of Medicaid coverage in three states during the PHE (Nebraska, Missouri, and Oklahoma), while others are due to worsening economic conditions during the pandemic. However, a large amount of the increase in Medicaid enrollment is likely due to the Medicaid Maintenance of Eligibility (MOE) requirement included in the Families First Coronavirus Response Act. This MOE provision required states to provide continuous Medicaid coverage to receive an enhanced 6.2% Federal Medical Assistance Percentage (FMAP). The MOE provision with increased federal funding enabled states to ensure that vulnerable individuals retained their health coverage and were able to access vital medical services, including services for COVID-19 testing, treatment, and vaccination.

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This project was funded by AHIP. AHIP is the national association whose members provide health care coverage, services, and solutions to hundreds of millions of Americans every day. AHIP is committed to market-based solutions and public-private partnerships that make health care better and coverage more affordable and accessible for everyone.