What is Medicaid redetermination and what does it mean for your family?

Learn about Medicaid redetermination and how it may impact your family's coverage.
4 minutos
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Publicado el
5 de mayo de 2023

Due to the end of the public health emergency (PHE), Medicaid redetermination has resumed. If you and your family are currently covered by Medicaid, you might be wondering what this means for you. Understanding coverage can be stressful, but with the right resources, you can ensure proper coverage for yourself and your family.

This blog will discuss what Medicaid redetermination means, who it affects, and how you can prepare.

What you need to know

At the beginning of COVID-19, the federal government ensured families would not lose Medicaid coverage during the pandemic. The legislation paused Medicaid redetermination, typically a yearly event that determines whether those receiving Medicaid benefits are still eligible for coverage.

During the redetermination process, each state Medicaid agency reviews an individual's income, household size, and other eligibility criteria to ensure they still qualify for Medicaid coverage. If the state determines they no longer qualify for Medicaid, their coverage will be terminated.

  • Medicaid retermination means that states have begun their process of checking eligibility for Medicaid coverage.
  • You may no longer be eligible if you have had a pay increase or if you have not updated your personal information with your state.

Who’s impacted

There are three main reasons why people typically lose their Medicaid coverage:

  1. Income: their income has increased, and they now earn too much money to be eligible for Medicaid
  2. Age: they turned 65 and are now eligible for Medicare
  3. Lack of information: if the State does not have the information they need (for example, address and contact information)

If you fall into one of these categories, you will need to take action to continue coverage. The Centers for Medicare and Medicaid (CMS) is working with states to make sure to provide resources for families transitioning away from Medicaid. 

Visit www.healthcare.gov to see what health plans are available for your family. You can also call your state’s Medicaid office to confirm your coverage. 

Notices of redetermination

State Medicaid programs are required to send you notice of redetermination within 30 days to allow sufficient time for response. If you do not respond, the state must provide a 10-day notice before coverage is officially terminated.

Take action to ensure coverage.

To navigate the Medicaid redetermination process, families receiving Medicaid benefits should ensure their state Medicaid office has their correct contact information, including mailing address and phone number. If the Medicaid office requests additional information to verify eligibility, families should provide it as soon as possible and regularly check their email and mail for notices from the state Medicaid agency.

Completing the state's Redetermination Form for Medicaid online, which may require providing current address, household size, income, and information about other sources of health insurance, along with supporting documentation, is also essential. 

Families should periodically check their Medicaid redetermination status by logging in to their state Medicaid agency's website or by calling their state office. Families should also ensure that healthcare providers like Hazel Health have updated health coverage information. If your insurance coverage changes, please provide your updated information to Hazel Health by calling 800-764-2935. 

Recursos: 

  • Healthcare.gov - A government website that provides information on health insurance and options for coverage.
  • Centers for Medicare and Medicaid Services (CMS) - The CMS is a federal agency that oversees Medicaid and provides assistance with the redetermination process. Their toll-free hotline, 1-800-633-4227 can offer support.
  • State Medicaid agencies - Each state has its own Medicaid program. Individuals can contact their state agency for support with the redetermination process. 
  • Local Medicaid offices - Some states have local Medicaid offices that offer in-person services. Check with your state’s Medicaid agency to find out if this is an option for you.

Medicaid redetermination can be stressful for families receiving Medicaid benefits, especially after the pause during COVID-19 Public Health Emergency. Families can ensure they maintain coverage and access healthcare resources by taking the proper steps. Stay informed and contact healthcare providers if you need assistance during this process. 

Due to the end of the public health emergency (PHE), Medicaid redetermination has resumed. If you and your family are currently covered by Medicaid, you might be wondering what this means for you. Understanding coverage can be stressful, but with the right resources, you can ensure proper coverage for yourself and your family.

This blog will discuss what Medicaid redetermination means, who it affects, and how you can prepare.

What you need to know

At the beginning of COVID-19, the federal government ensured families would not lose Medicaid coverage during the pandemic. The legislation paused Medicaid redetermination, typically a yearly event that determines whether those receiving Medicaid benefits are still eligible for coverage.

During the redetermination process, each state Medicaid agency reviews an individual's income, household size, and other eligibility criteria to ensure they still qualify for Medicaid coverage. If the state determines they no longer qualify for Medicaid, their coverage will be terminated.

  • Medicaid retermination means that states have begun their process of checking eligibility for Medicaid coverage.
  • You may no longer be eligible if you have had a pay increase or if you have not updated your personal information with your state.

Who’s impacted

There are three main reasons why people typically lose their Medicaid coverage:

  1. Income: their income has increased, and they now earn too much money to be eligible for Medicaid
  2. Age: they turned 65 and are now eligible for Medicare
  3. Lack of information: if the State does not have the information they need (for example, address and contact information)

If you fall into one of these categories, you will need to take action to continue coverage. The Centers for Medicare and Medicaid (CMS) is working with states to make sure to provide resources for families transitioning away from Medicaid. 

Visit www.healthcare.gov to see what health plans are available for your family. You can also call your state’s Medicaid office to confirm your coverage. 

Notices of redetermination

State Medicaid programs are required to send you notice of redetermination within 30 days to allow sufficient time for response. If you do not respond, the state must provide a 10-day notice before coverage is officially terminated.

Take action to ensure coverage.

To navigate the Medicaid redetermination process, families receiving Medicaid benefits should ensure their state Medicaid office has their correct contact information, including mailing address and phone number. If the Medicaid office requests additional information to verify eligibility, families should provide it as soon as possible and regularly check their email and mail for notices from the state Medicaid agency.

Completing the state's Redetermination Form for Medicaid online, which may require providing current address, household size, income, and information about other sources of health insurance, along with supporting documentation, is also essential. 

Families should periodically check their Medicaid redetermination status by logging in to their state Medicaid agency's website or by calling their state office. Families should also ensure that healthcare providers like Hazel Health have updated health coverage information. If your insurance coverage changes, please provide your updated information to Hazel Health by calling 800-764-2935. 

Recursos: 

  • Healthcare.gov - A government website that provides information on health insurance and options for coverage.
  • Centers for Medicare and Medicaid Services (CMS) - The CMS is a federal agency that oversees Medicaid and provides assistance with the redetermination process. Their toll-free hotline, 1-800-633-4227 can offer support.
  • State Medicaid agencies - Each state has its own Medicaid program. Individuals can contact their state agency for support with the redetermination process. 
  • Local Medicaid offices - Some states have local Medicaid offices that offer in-person services. Check with your state’s Medicaid agency to find out if this is an option for you.

Medicaid redetermination can be stressful for families receiving Medicaid benefits, especially after the pause during COVID-19 Public Health Emergency. Families can ensure they maintain coverage and access healthcare resources by taking the proper steps. Stay informed and contact healthcare providers if you need assistance during this process. 

Due to the end of the public health emergency (PHE), Medicaid redetermination has resumed. If you and your family are currently covered by Medicaid, you might be wondering what this means for you. Understanding coverage can be stressful, but with the right resources, you can ensure proper coverage for yourself and your family.

This blog will discuss what Medicaid redetermination means, who it affects, and how you can prepare.

What you need to know

At the beginning of COVID-19, the federal government ensured families would not lose Medicaid coverage during the pandemic. The legislation paused Medicaid redetermination, typically a yearly event that determines whether those receiving Medicaid benefits are still eligible for coverage.

During the redetermination process, each state Medicaid agency reviews an individual's income, household size, and other eligibility criteria to ensure they still qualify for Medicaid coverage. If the state determines they no longer qualify for Medicaid, their coverage will be terminated.

  • Medicaid retermination means that states have begun their process of checking eligibility for Medicaid coverage.
  • You may no longer be eligible if you have had a pay increase or if you have not updated your personal information with your state.

Who’s impacted

There are three main reasons why people typically lose their Medicaid coverage:

  1. Income: their income has increased, and they now earn too much money to be eligible for Medicaid
  2. Age: they turned 65 and are now eligible for Medicare
  3. Lack of information: if the State does not have the information they need (for example, address and contact information)

If you fall into one of these categories, you will need to take action to continue coverage. The Centers for Medicare and Medicaid (CMS) is working with states to make sure to provide resources for families transitioning away from Medicaid. 

Visit www.healthcare.gov to see what health plans are available for your family. You can also call your state’s Medicaid office to confirm your coverage. 

Notices of redetermination

State Medicaid programs are required to send you notice of redetermination within 30 days to allow sufficient time for response. If you do not respond, the state must provide a 10-day notice before coverage is officially terminated.

Take action to ensure coverage.

To navigate the Medicaid redetermination process, families receiving Medicaid benefits should ensure their state Medicaid office has their correct contact information, including mailing address and phone number. If the Medicaid office requests additional information to verify eligibility, families should provide it as soon as possible and regularly check their email and mail for notices from the state Medicaid agency.

Completing the state's Redetermination Form for Medicaid online, which may require providing current address, household size, income, and information about other sources of health insurance, along with supporting documentation, is also essential. 

Families should periodically check their Medicaid redetermination status by logging in to their state Medicaid agency's website or by calling their state office. Families should also ensure that healthcare providers like Hazel Health have updated health coverage information. If your insurance coverage changes, please provide your updated information to Hazel Health by calling 800-764-2935. 

Recursos: 

  • Healthcare.gov - A government website that provides information on health insurance and options for coverage.
  • Centers for Medicare and Medicaid Services (CMS) - The CMS is a federal agency that oversees Medicaid and provides assistance with the redetermination process. Their toll-free hotline, 1-800-633-4227 can offer support.
  • State Medicaid agencies - Each state has its own Medicaid program. Individuals can contact their state agency for support with the redetermination process. 
  • Local Medicaid offices - Some states have local Medicaid offices that offer in-person services. Check with your state’s Medicaid agency to find out if this is an option for you.

Medicaid redetermination can be stressful for families receiving Medicaid benefits, especially after the pause during COVID-19 Public Health Emergency. Families can ensure they maintain coverage and access healthcare resources by taking the proper steps. Stay informed and contact healthcare providers if you need assistance during this process. 

Due to the end of the public health emergency (PHE), Medicaid redetermination has resumed. If you and your family are currently covered by Medicaid, you might be wondering what this means for you. Understanding coverage can be stressful, but with the right resources, you can ensure proper coverage for yourself and your family.

This blog will discuss what Medicaid redetermination means, who it affects, and how you can prepare.

What you need to know

At the beginning of COVID-19, the federal government ensured families would not lose Medicaid coverage during the pandemic. The legislation paused Medicaid redetermination, typically a yearly event that determines whether those receiving Medicaid benefits are still eligible for coverage.

During the redetermination process, each state Medicaid agency reviews an individual's income, household size, and other eligibility criteria to ensure they still qualify for Medicaid coverage. If the state determines they no longer qualify for Medicaid, their coverage will be terminated.

  • Medicaid retermination means that states have begun their process of checking eligibility for Medicaid coverage.
  • You may no longer be eligible if you have had a pay increase or if you have not updated your personal information with your state.

Who’s impacted

There are three main reasons why people typically lose their Medicaid coverage:

  1. Income: their income has increased, and they now earn too much money to be eligible for Medicaid
  2. Age: they turned 65 and are now eligible for Medicare
  3. Lack of information: if the State does not have the information they need (for example, address and contact information)

If you fall into one of these categories, you will need to take action to continue coverage. The Centers for Medicare and Medicaid (CMS) is working with states to make sure to provide resources for families transitioning away from Medicaid. 

Visit www.healthcare.gov to see what health plans are available for your family. You can also call your state’s Medicaid office to confirm your coverage. 

Notices of redetermination

State Medicaid programs are required to send you notice of redetermination within 30 days to allow sufficient time for response. If you do not respond, the state must provide a 10-day notice before coverage is officially terminated.

Take action to ensure coverage.

To navigate the Medicaid redetermination process, families receiving Medicaid benefits should ensure their state Medicaid office has their correct contact information, including mailing address and phone number. If the Medicaid office requests additional information to verify eligibility, families should provide it as soon as possible and regularly check their email and mail for notices from the state Medicaid agency.

Completing the state's Redetermination Form for Medicaid online, which may require providing current address, household size, income, and information about other sources of health insurance, along with supporting documentation, is also essential. 

Families should periodically check their Medicaid redetermination status by logging in to their state Medicaid agency's website or by calling their state office. Families should also ensure that healthcare providers like Hazel Health have updated health coverage information. If your insurance coverage changes, please provide your updated information to Hazel Health by calling 800-764-2935. 

Recursos: 

  • Healthcare.gov - A government website that provides information on health insurance and options for coverage.
  • Centers for Medicare and Medicaid Services (CMS) - The CMS is a federal agency that oversees Medicaid and provides assistance with the redetermination process. Their toll-free hotline, 1-800-633-4227 can offer support.
  • State Medicaid agencies - Each state has its own Medicaid program. Individuals can contact their state agency for support with the redetermination process. 
  • Local Medicaid offices - Some states have local Medicaid offices that offer in-person services. Check with your state’s Medicaid agency to find out if this is an option for you.

Medicaid redetermination can be stressful for families receiving Medicaid benefits, especially after the pause during COVID-19 Public Health Emergency. Families can ensure they maintain coverage and access healthcare resources by taking the proper steps. Stay informed and contact healthcare providers if you need assistance during this process. 

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Hazel Health, el líder en telesalud en las escuelas, se asocia con los distritos escolares para prestar servicios de salud física y mental a estudiantes de K-12 donde se encuentren: en la escuela o en su casa. Los diversos proveedores interculturales de Hazel se especializan en los problemas de salud de los niños y adolescentes y trabajan en conjunto con los padres y el personal de la escuela para tomar las mejores decisiones relativas a la atención de los estudiantes. Hazel se compromete a mejorar la equidad en atención médica y está disponible independientemente de los ingresos familiares, la zona geográfica, la situación del seguro y la posibilidad de pagar. La misión de Hazel es transformar el acceso de los niños a la atención médica, porque cuando los estudiantes se sienten mejor, aprenden mejor.

Obtenga más información en hazel.co.

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Hazel Health is the nation’s largest and most trusted provider of school-based telehealth. By partnering with districts and health plans across the country, Hazel transforms schools into the most accessible front door to pediatric healthcare. Today, Hazel’s licensed providers deliver teletherapy and virtual care (in school or at home) to over four million K-12 students, regardless of their insurance status or ability to pay. Hazel aims to remove all barriers to the mental and physical health care that children need to thrive: in school, at home, and in life.

Obtenga más información en hazel.co.

Acerca de Hazel

Hazel Health, el líder en telesalud en las escuelas, se asocia con los distritos escolares para prestar servicios de salud física y mental a estudiantes de K-12 donde se encuentren: en la escuela o en su casa. Hazel presta servicios a casi 2 millones de estudiantes en 100 distritos escolares, lo que ayuda a reducir el ausentismo crónico y el aprendizaje inconcluso, ya que aborda las dificultades para acceder a la atención médica. Hazel, como extensión del equipo de salud escolar, ayuda a las escuelas a abordar de inmediato las necesidades de atención de salud física y mental de los estudiantes. La misión de Hazel es transformar el acceso de los niños a la atención médica, porque cuando los estudiantes se sienten mejor, aprenden mejor.

Obtenga más información en Hazel.co/hazel-in-schools.

Acerca de Hazel

Hazel Health, el líder en telesalud en las escuelas, se asocia con los distritos escolares para prestar servicios de salud física y mental a estudiantes de K-12 donde se encuentren: en la escuela o en su casa. Como Hazel soluciona las dificultades para acceder a la atención médica, ayuda a los distritos escolares a abordar los problemas de ausentismo crónico, aprendizaje inconcluso e inscripción en las escuelas.

Obtenga más información en Hazel.co/hazel-in-schools.

Acerca de Hazel

Hazel Health, el líder en telesalud en las escuelas, trabaja con los distritos escolares y las familias para prestar servicios de salud física y mental a estudiantes de K-12 donde se encuentren: en la escuela o en su casa. En lugar de esperar una cita con un médico o terapeuta, los niños pueden ver a un proveedor de Hazel mediante una visita virtual, sin ningún costo para las familias. Con el permiso de los tutores, la plataforma virtual de Hazel permite a los niños ponerse en contacto con un proveedor de atención médica en cuestión de minutos, o con un terapeuta en cuestión de días tras la derivación. Los proveedores de Hazel pueden ayudar con todo tipo de problemas, desde alergias y dolores de estómago hasta ansiedad y depresión. Con Hazel, los niños pueden obtener la atención que necesitan cuando la necesitan.

Obtenga más información en Hazel.co/how-hazel-works.

Acerca de Hazel

Hazel Health, el líder en telesalud en las escuelas, trabaja con los distritos escolares y las familias para prestar servicios de salud física y mental a estudiantes de K-12 donde se encuentren: en la escuela o en su casa. Sin costo alguno, e independientemente de la situación del seguro médico, los proveedores de Hazel pueden ayudar con todo tipo de problemas, desde alergias y dolores de estómago hasta ansiedad y depresión. Con Hazel, los niños pueden obtener la atención que necesitan cuando la necesitan.

Obtenga más información en Hazel.co/how-hazel-works.

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