Medicaid redetermination, also known as Medicaid renewal, recertification, or unwinding, is the process by a state’s Medicaid agency to check if a person is still eligible for Medicaid or Children’s Health Insurance Plan (CHIP) coverage. To qualify for Medicaid, a person’s income has to be fairly low and a yearly process helps the state decide if someone still meets the criteria. The eligibility criteria are based on financial and other factors, which are set by the state.
Everyone on Medicaid will be checked for eligibility once every 12 months. In some states, the government will try to automatically re-enroll Medicaid members. In others, people need to re-enroll themselves. In either case, if you’re receiving Medicaid benefits today, get ready to take action to try and keep your coverage or prepare to find an alternative. Here is what is important to keep in mind:
- If you haven’t done so lately, update your contact information with your state Medicaid or CHIP agency right away.
- Be sure to respond to any Medicaid/CHIP renewal form when it arrives to keep your coverage.
- Parents should respond even if you don’t think you’re eligible – your kids could still be eligible!
- If you are no longer eligible for Medicaid or CHIP, check if you can get coverage through your employer, through the Affordable Care Act Marketplace at HealthCare.gov, or through Medicare.
If you don’t know who your State Medicaid or CHIP provider is, go to this link which has a US map. Find your state and it will take you right to the page to find more info and update your contact information.
How is Groups supporting members through Medicaid redetermination?
If you’re a member and have questions about your Medicaid health insurance, reach out to your Office Coordinator- we can help get you to the right place! For state-specific information on Medicaid, click on your state below.
Groups members can count on their Care Teams and Recovery Support Specialists to help every step of the way.
Need some help but not a Groups member?
Groups offers safe and convenient treatment that helps people find real, lasting recovery from Opioid Use Disorder (OUD). Since 2014, we’ve been helping members recover the lives they want to live through of medication-assisted treatment (MAT) using Suboxone, in-person and virtual group therapy, and community support for essentials like housing, food, transportation, and employment.
If you’re looking for help managing the Medicaid redetermination process and are interested in learning more about becoming a Groups member, call us 24/7 at 888-858-1723 to get started.
