States will begin this week to sever an anticipated 15 million low-income Americans from Medicaid rolls that ballooned during the pandemic.
The end to the temporary guarantee that preserved the safety-net health coverage for the past three years saddles every state with an immense undertaking: sorting out which Medicaid beneficiaries actually belong. Around the country, officials have been preparing for months, but the result is a bumpy landscape consisting of states that vary in how ready they are for this daunting work.
The goal is twofold: to coach states to avoid cutting off people improperly for procedural reasons — such as a renewal letter that never arrives because someone has moved — and to design easy paths for people who no longer belong on Medicaid but could migrate to other insurance. Federal officials have told states to try to
Feeling unwell one day, Bunch went to the infirmary, which found her blood pressure soaring. She could not afford medicine to lower it. She was not allowed to return to work without being medically cleared. Every morning, she stopped at the infirmary for a blood-pressure check. After a few weeks of failing the daily checks, she was asked to leave.
the insurance fate of those beneficiaries faster than federal officials have recommended. The state has announced it expects to complete reviewing them by September.“It will still be a challenge … with so many renewals front-loaded into the first half of the year allowed,” said Stacey Pogue, a senior policy analyst for Every Texan, a policy and advocacy group. “[M]istakes could get made.
The data includes the number of beneficiaries whose eligibility is reviewed each month, the number of people kept on Medicaid and the number jettisoned and, of those jettisoned, the breakdown between truly ineligible vs. removed for procedural reasons. States must report how many beneficiaries called with questions, the average wait time on hold and how many simply gave up.
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