Medicaid Redeterminations
Public Health Emergency Unwinding
In response to the COVID-19 pandemic, the U.S. Congress passed the Families First Coronavirus Response Act (FFCRA) in March 2020. The FFCRA allowed continuous coverage for Medicaid members during the federal Public Health Emergency (PHE). The Consolidated Appropriations Act of 2023 (CAA) ended continuous Medicaid coverage related to the PHE on March 31, 2023. The CAA requires every state to begin the Medicaid Redeterminations process no later than April 1, 2023. Redeterminations must be complete within 14 months, and all renewals must be initiated by March 31, 2024.
Medicaid Redeterminations
A Medicaid redetermination is the review of an existing member’s continued eligibility. Generally, both Medicaid and PeachCare for Kids® require renewals every 12 months. However, with continuous coverage for the duration of the PHE, no redeterminations have been made since 2020.
Beginning April 1, 2023, the Georgia Department of Human Services must initiate redeterminations for approximately 2.7 million members. Every Georgia Medicaid member must respond to requests for required information in a timely manner. If a Medicaid member is still eligible, their coverage will be renewed.
Resources and Materials:
Georgia PHE Unwinding and Medicaid Redeterminations Readiness Assessment and Recommendations Report
Georgia Medicaid Redeterminations Plan
Georgia Medicaid Redeterminations Website