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, which 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 of 2023 requires every state to begin the Medicaid Redeterminations process by no later than April 1, 2023 and complete the redeterminations within 14 months (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.
With the ending of the PHE, the Georgia Department of Human Services is required to begin redeterminations for approximately 2.7 million Medicaid and PeachCare for Kids® members over the next 14 months, beginning on April 1, 2023. 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