A staffing crisis is causing a monthslong wait for Medicaid, and it could get worse

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A staffing crisis is causing a monthslong wait for Medicaid, and it could get worse
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Eligibility worker vacancies at the Texas Health and Human Services Commission have quadrupled over roughly two years — 1,031 vacant positions as of late February compared with 260 as of March 2020. | via KHNews

Federal officials have said they will give states 60 days notice before ending the public health emergency, so it's unlikely to expire before summer. Once it does, enrollees won't be kicked off immediately: States can take up to 14 months to complete renewals, although budget pressures may push many to move faster. A bump in federal Medicaid funds to states, provided by Congress through covid relief legislation in 2020, will end shortly after the emergency's expiration.

Eligibility worker vacancies at the Texas Health and Human Services Commission have quadrupled over roughly two years — 1,031 vacant positions as of late February compared with 260 as of March 31, 2020, according to spokesperson Kelli Weldon. Other social services may be gummed up in the process because many workers also handle applications for other programs. In addition to Medicaid, workers for Kentucky's Department for Community Based Services handle SNAP and child care assistance applications.

"I even have a [phone] line that I get through faster than a consumer calling for themselves," she said."If it's hard for me, it's very hard for consumers who are trying to call on their lunch break at work." In the suburbs of Kansas City, M0., Stacey Whitford, 41, applied in December for Medicaid for herself and her 13-year-old son. Her son needs hearing aids that she said cost $2,500 apiece without insurance. She also lined up a support worker for the boy, who has autism, through the Department of Mental Health, but said she was told the worker can begin only once her son is enrolled in Medicaid.

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