Medicaid Unwinding Archives

2024 NHIS Data Early Release: Quarter 3 (July – September) Estimates Show Coverage Continued to Shift at the End of the Unwinding

This blog post documents relevant changes to coverage since the Medicaid unwinding, such as uninsurance rates by age.

What Do the New Census Data Say About Insurance Coverage for Children and Adults? A Look at Both the National and State Level

This commentary examines national- and state-level data on healthcare coverage from the 2023 American Community Survey (ACS).

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Resources to Help States Prepare for Open Enrollment

This toolkit includes resources designed to help states effectively promote information about Marketplace enrollment and health plan options to consumers during the annual open enrollment period.

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Medicaid & CHIP Mental Health Parity: Latest Federal Actions Explained

This blog examines the following steps to strengthen the Mental Health Parity and Addiction Equity Act (MHPAEA) in Medicaid and CHIP.

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2023 ACS Tables: State and County Uninsured Rates, with Comparison Year 2022

This interactive map shows uninsurance rates by state and sub-state geographies, demographic characteristics for 2023, and comparison year 2022.

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Exploring Rising Uninsured Rates for Low-Income Children

This blog reviews recent survey data findings on how the insurance coverage of low-income children changed between 2022 and 2023 both nationally and at the state level.

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Unpacking the Unwinding: Medicaid to Marketplace Coverage Transitions

This blog highlights the aftermath of the Medicaid unwinding and state efforts to smooth coverage transitions.

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2023 ACS: After Two Years of Decline, Uninsured Rates Increased for Children; Public and Private Coverage Rates See Variations Across the States

This blog walks through state-level findings regarding different types of health insurance and changes by age category.

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Back-to-School Season is Key to Reconnecting Kids to Health Coverage

This dual-language toolkit provides families with information on Medicaid and CHIP and how to apply or re-apply.

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CMS Issues Guidance on Renewal Timeliness Post-Unwinding

This blog post reviews and links to the CMCS Informational Bulletin (CIB) and accompanying slide deck.

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GAO Releases Report on Federal Oversight and the Unwinding

This blog reviews the Government Accountability Office's (GOA) report entitled: “Medicaid: Federal Oversight of State Eligibility Redeterminations Should Reflect Lessons Learned after COVID-19.”

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What to expect from Census data this fall on Child/Adult Coverage Levels?

This blog reviews what can be anticipated from the upcoming release of the Census Bureau’s 2023 survey data in September based on current Medicaid unwinding statistics.

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Changes in Healthcare Cost Barriers with Medicaid Continuous Coverage and Enhanced Premium Tax Credits

This brief assesses changes in health insurance coverage and cost-related barriers to healthcare during the COVID-19 public health emergency following the implementation of policies that aimed to improve access to Medicaid and Marketplace coverage.

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The Unwinding: It’s Not Over Until It’s Over

This blog discusses extended timelines for states to process Medicaid renewals, the importance of reporting renewal outcomes, and updates to renewal data.

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Back to Basics: Effective State Medicaid and CHIP Outreach to Families

This blog covers some of the quintessential outreach efforts performed by states to inform and educate individuals about Medicaid and CHIP benefits.

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Marketplace Enrollment Among Those Losing Medicaid Coverage During Unwinding

This blog reviews CMS marketplace enrollment data from February 2024, which was after the 2024 Open Enrollment Period had ended in nearly all states.

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Changes Coming to Medicaid and CHIP Programs Promise to Simplify Enrollment and Renewal

This blog reviews changes to the Medicaid and CHIP programs to streamline enrollment for eligible individuals.

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Medicaid Supports Student Success in School Districts Across the Country

This blog reviews new data on the share of children with Medicaid/CHIP coverage of more than 7,000 school districts nationwide and the importance these coverage programs have to students.

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Marketplace Enrollment Among Those Losing Medicaid Coverage During Unwinding Slowed in Last Month of Open Enrollment

This blog examines new data for January 2024, which was the last month of the 2024 Open Enrollment Period in nearly all states.

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Child Medicaid Disenrollment Data Shows Wide Variation in State Performance

This paper uses administrative data reported by states to CMS to examine how the unwinding impacted children’s enrollment in Medicaid and CHIP in 2023.

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Tracking Health Insurance Coverage During the Unwinding: Monthly Data from the Household Pulse Survey

This blog uses data from the U.S. Census Bureau’s Household Pulse Survey to track trends in adult health insurance coverage rates as states “unwind” Medicaid continuous coverage and restart standard redetermination procedures.

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Medicaid Eligibility and Enrollment Rule Explainer

This report summarizes and examines the content of the most recent final rule from CMS.

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Fact Sheet Highlights MCOs’ Strategies to Address Redeterminations

The survey series provides an in-depth view of health plans’ responses regarding risk mitigation, disenrollment, and outreach.

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CMS Final Rule on Medicaid and CHIP Eligibility, Enrollment, and Renewal

During this webinar, experts from Manatt Health reviewed key Medicaid and CHIP provisions in the final rule and discussed considerations for state policymakers.

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The Final 2025 Notice of Benefit and Payment Parameters: Implications for States

On April 2, 2024, the Centers for Medicare & Medicaid Services (CMS) released the final Notice of Benefit and Payment Parameters (NBPP) for 2025. This annual rule governs core provisions of the Affordable Care Act (ACA), including operation of the health insurance Marketplaces, standards for health plans, insurance brokers (including web-brokers), and the risk adjustment program. This blog focuses on provisions of the final rule of interest to state officials.

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Marketplace Enrollment Update

This blog examines increases in Marketplace enrollment among people losing Medicaid coverage during the unwinding.

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Tracking Health Insurance Coverage During the Unwinding

This blog tracks trends in adult health insurance coverage rates as states “unwind” the Medicaid continuous coverage requirement.

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Call Center Data Shows Trends Across States, But May Not Provide Full Picture

This blog examines the first batch of call center data provided by CMS from March and its shortcomings.

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Surveys Show Unwinding Awareness Lags, Highlighting Need for Outreach

In this blog, the Georgetown University Center for Children and Families analyzes recent survey findings regarding the impact of Medicaid unwinding and enrollees' experiences.

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10 “Do Nots” in Conducting Medicaid Renewals

In this blog, The Georgetown University Center for Children and Families outlines and expands on the 10 "Do Nots" outlined in the bulletin.

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State Shares of Medicaid/CHIP MAGI Applications Exceeding 45-Day Processing Standard

The Center for Children and Families (CCF) at Georgetown University analyzed data on which states are taking longer than the federally regulated 45 days to process Medicaid applications for low-income children, families, and adults. This blog takes a look at some of the states taking longer than their allotted 45 days and the possible reasons behind it.

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Marketplace Enrollment Among Those Losing Medicaid Coverage During Unwinding More than Doubled in November with Start of Open Enrollment Period

In this blog CCF analyzes CMS data on marketplace enrollment from November, 2023.

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Monthly Health Coverage Data from the Household Pulse Survey

This blog tracks trends in adult health insurance coverage rates as states unwind the Medicaid continuous coverage requirement and continue redetermination procedures.

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Medicaid Churn Toolkit

This blog shares a “Medicaid Churn Toolkit” to guide Medicaid agencies and their partners in the design and implementation of efforts to reduce churn.

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Marketplace Enrollment Surges Among Those Losing Medicaid Coverage

This blog discusses the surge in Marketplace enrollment among individuals losing coverage during the unwinding.

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A Lifeline for Families of Children With Special Health Care Needs

This blog examines how gaps in coverage are affecting California families, particularly those that have children with special healthcare needs, and steps the state can take to renew coverage for more families.

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Ensuring Continuity in Healthcare Coverage While Medicaid Unwinds

This blog examines state and territorial health agencies strategies, and state approaches during the unwinding of continuous coverage.

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Most States Show Improvement in Automated Medicaid Renewals

This blog compared states' ex parte rates from their first month of unwinding to the most recent to identify whether progress has been made.

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Q&A: Preparing to Implement the 12-Month Continuous Enrollment Requirement for Children

This blog examines a Q&A, which is intended to serve as an added resource for states implementing continuous eligibility.

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Insights to Inform 2024 Medicaid Renewal Messaging

This blog highlights findings from a rapid message test conducted to gauge the persuasiveness of Medicaid renewal message themes.

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HHS and CMS Take Action to Preserve Coverage for Eligible Children

On December 18, 2023, the Centers for Medicare & Medicaid Services (CMS) released a suite of Medicaid unwinding-related guidance and enrollment data that includes a focus on ensuring eligible children maintain Medicaid and Children’s Health Insurance Program (CHIP) coverage. In conjunction with CMS’ release, the United States Department of Health and Human Services (HHS) sent letters to the governors of nine states with the highest child disenrollment rates.

This blog from State Health & Value Strategies reviews the HHS letters and discusses specific resources available to states as the unwinding continues.

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State Reporting to Monitor Medicaid’s Unwinding

This blog examines states' unwinding data, variation in reporting of indicators, and data dashboards.

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Improving Data Sharing Across SNAP and Medicaid Agencies: Key Factors for Success During Unwinding and Beyond

This webinar explored successful practices for data coordination between SNAP and Medicaid agencies gleaned from a 50-state survey and three state case studies.

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Expanding the Menu: How Medicaid Can Address Food Insecurity

This brief outlines strategies for state Medicaid agencies to help people experiencing food insecurity obtain continuous access to nourishing food.

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What States Can Do to Keep People Covered as Unwinding Continues

This blog highlights a new Commonwealth Fund post, which assesses the status of state efforts to smooth coverage transitions during the unwinding and discusses the need for more timely and accurate data.

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State-Based Marketplace Transition Data During the Unwinding

This blog reviews SBMs reporting of Marketplace transition outcome data, state variations in reporting, and considerations for presenting outcomes data.

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State-Based Marketplaces: Continuing Innovations for Open Enrollment 2024

This blog highlights new and innovative initiatives being implemented during the plan year 2024 OEP.

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Tracking Health Insurance Coverage During the Unwinding: Monthly Data from the Household Pulse Survey

This blog uses data from the U.S. Census Bureau’s Household Pulse Survey to track trends in adult health insurance coverage rates during the unwinding.

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State-Based Marketplace Transition Data During the Unwinding

This blog examines CMS' fourth release of state data reporting metrics, which includes information on Marketplace enrollment transitions.

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State Reporting to Monitor the Unwinding of the Medicaid Continuous Coverage Requirement

Using state data, this continually-updated blog analyzes the current state of the unwinding and identifies state-based based best practices and trends.

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What’s New for 2024 Marketplace Enrollment?

This blog summarizes a number of new and ongoing policy changes that will impact the Marketplace as the annual open enrollment period for Affordable Care Act Marketplace coverage kicks off November 1 in most states.

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Tracking Health Insurance Coverage During the Unwinding: Monthly Data from the Household Pulse Survey

This blog uses data from the U.S. Census Bureau’s Household Pulse Survey to track trends in adult health insurance coverage rates amid the unwinding.

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CMS Releases Third Batch of State-Reported Unwinding Data

This blog shares new CMS data on Marketplace enrollment and transitions, and separate CHIP enrollment.

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State Reporting to Monitor the Unwinding of the Medicaid Continuous Coverage Requirement

This blog examines variations in states' reporting of indicators and data highlights.

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CMS Finalizes Medicaid Rule to Streamline Enrollment into Medicare Savings Programs

This blog provides a high-level overview of key provisions included in the final rule that will facilitate enrollment and retention of Medicare Savings Program coverage.

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Tracking Health Insurance Coverage During the Unwinding: Monthly Data from the Household Pulse Survey

This blog uses data from the U.S. Census Bureau’s Household Pulse Survey to track trends in adult health insurance coverage rates as states “unwind” the Medicaid continuous coverage requirement.

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States of Unwinding: How State Officials Are Innovating to Support Coverage

This blog discusses states' approaches to support coverage through the unwinding period.

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New Mothers Gained Health Coverage During Pandemic-Era Coverage Protections

This blog shares a new report that offers policy recommendations to ensure new mothers are able to access coverage and high-quality care during the postpartum period.

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Declining Uninsured Rates Supported by Private and Public Coverage Increases

This blog highlights national and state-level changes that took place between 2021 and 2022 in the broadest categories of insurance.

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Exploring Cost and Coverage Rates in Employer-Sponsored Insurance (Infographic)

In this blog and infographic, SHADAC researchers use recently released data from the Medical Expenditure Panel Survey-Insurance Component (MEPS-IC) to analyze private-sector ESI and provide an initial snapshot of estimates for 2022 on a national level and within the states.

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Medicaid-Eligible Adults Who Lack Private Coverage and Are Not Enrolled

This report shares findings with policy implications for how counts of the uninsured should be interpreted while highlighting the importance of policies that promote Medicaid enrollment and retention.

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Strategies for States to Improve Ex Parte Renewals During – and Beyond – the Medicaid Unwinding

This blog discusses available options states can adopt to improve ex parte rates.

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State Reporting to Monitor the Unwinding of the Medicaid Continuous Coverage Requirement

This blog shares data on how states are monitoring the impacts of the resumption of eligibility redeterminations and disenrollments.

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Tracking Health Insurance Coverage During the Unwinding: Monthly Data from the Household Pulse Survey

This blog tracks trends in adult health insurance coverage rates as states “unwind” the Medicaid continuous coverage requirement.

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Using Surveys to Monitor Coverage Transitions During the Unwinding of the Medicaid Continuous Coverage Requirement

This blog shares individual-level surveys of people who were enrolled in Medicaid during the continuous coverage requirement to help answer whether people are gaining employer-sponsored insurance (ESI) upon leaving Medicaid coverage and why some successfully renewed while others could not.

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Call Center Strategies to Support Unwinding: State Toolkit

This toolkit identifies opportunities and explores strategies to improve call center functionality.

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The Perfect Storm: Misleading Marketing of Limited Benefit Products Continues as Millions Losing Medicaid Search for New Coverage

This publication explores how Medicaid enrollees searching for new health plans on the private market are facing aggressive and misleading marketing of limited benefit products that often fail to protect consumers from the steep cost of healthcare.

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The Medicaid Unwind’s Impact on Children: Are They Moving to CHIP?

This blog reviews state processes that are underway to ensure eligible children who are losing Medicaid coverage are transitioning to CHIP.

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Tracking Health Insurance Coverage During the Unwinding

This blog examines trends in adult health insurance coverage rates as states “unwind” the Medicaid continuous coverage requirement and restart standard redetermination procedures.

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State Reporting to Monitor the Unwinding of the Medicaid Continuous Coverage Requirement

This blog examines states' use of data dashboards to monitor progress on coverage transitions during the unwinding.

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State Reporting to Monitor the Unwinding of the Medicaid Continuous Coverage Requirement

This blog discusses how data dashboards allow states to make proactive decisions about what data to release and on what schedule.

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Community and Uninsured Profile In Action: Local Case Studies

This blog examines two case studies that highlight how the profile can support the enrollment efforts of local organizations and departments.

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Community and Uninsured Profile In Action: Local Case Studies

This blog discusses how states are approaching helping their residents secure coverage.

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State Reporting to Monitor the Unwinding of the Medicaid Continuous Coverage Requirement

This blog discusses how data dashboards can be useful for states to make proactive decisions about what data to release and on what schedule and then organize that data in an easy-to-digest visual format that facilitates the interpretation of key coverage trends.

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State Dashboards to Monitor the Unwinding of the Medicaid Continuous Coverage Requirement

This blog examines and maps states that are using publicly available dashboards to share key data points as they monitor enrollment transitions throughout the unwinding.

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State Dashboards to Monitor the Unwinding of the Medicaid Continuous Coverage Requirement

This blog examines states' plans to publish a data dashboard to monitor progress.

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Data Coordination at SNAP and Medicaid Agencies: A National Landscape Analysis

This report examines how states coordinate across Medicaid and the Supplemental Nutrition Assistance Program.

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Searching for a New Normal: How Expiration of the Federal Public Health Emergency Impacts Access to Health Care Services

This blog reviews selected policies tied to the PHE and evaluates how their expiration will impact consumers’ access to services.

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The Health Coverage of Noncitizens in the United States (2024)

This report analyzes healthcare coverage and eligibility of nonelderly noncitizens compared with the entire nonelderly population of the US.

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Final 2024 Payment Rule, Part 1: Insurance Market Rules And Consumer Assistance

This blog focuses on market reforms and consumer assistance within the 2024 Notice of Benefit & Payment Parameters.

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Effective Medicaid Renewal Notices Are Key to Getting it Right During Unwinding

This blog discusses that, while there are many factors that may affect the scale of coverage losses from procedural disenrollments, one of the significant concern is notices.

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Expedited CMS Approvals in Washington and Oregon Can Further Minimize Coverage Disruptions, Aid Unwinding

This blog discusses how new CMS approvals in Oregon and Washington will protect health coverage for children and families during this Medicaid unwinding, minimizing coverage disruptions and easing transitions to new sources of health coverage.

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The Final 2024 Notice of Benefit & Payment Parameters: Implications for States

This blog focuses on provisions of the final rule most of interest to State-Based Marketplaces and state insurance regulators.

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Final 2024 Payment Rule, Part 1: Insurance Market Rules And Consumer Assistance

This blog discusses key themes underlying many of the 2024 rules including the administration's commitments to advancing health equity, improving the costumer experience, and expanding marketplace enrollment.

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State Dashboards to Monitor the Unwinding of the Medicaid Continuous Coverage

This blog discusses how states have initiated plans to publish a data dashboard to monitor unwinding progress.

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Leveraging Data to Drive Results for Medicaid and Marketplace Enrollment

This blog discusses opportunities and considerations to utilize strategies to minimize coverage loss as states reinstate Medicaid redeterminations.

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The State of State Protections: Maintaining Access to Services after Transitioning from Medicaid

This blog discusses actions government officials have been taking to promote continuity of coverage to minimize the number of people who become uninsured or face a gap in coverage.

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State Dashboards to Monitor the Unwinding of the Medicaid Continuous Coverage Requirement

This blog discusses how some states have initiated plans to publish a data dashboard to monitor progress given the intense focus on coverage transitions during the unwinding.

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Key Strategies to Help States Prevent a Potentially Historic Loss in Health Insurance Coverage Nationwide

This blog examines three key strategies Benefits Data Trust believes will help streamline the transition for government staff and Medicaid recipients.

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Secrets to a Successful Unwinding: Actions State-Based Marketplaces and Insurance Departments Can Take to Improve Coverage Transitions

This blog provides a checklist of actions state-based Marketplaces and state departments of insurance can take to reduce gaps in coverage and minimize disruptions in care.

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Updates to the Navigator Resource Guide Provide Information for People Transitioning from Medicaid to Private Health Insurance

This blog highlights updates to the Center On Health Insurance Reforms' Navigator Resource Guide to help consumers and enrollment assisters during the unwinding.

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Unwinding Medicaid Continuous Coverage: Checklist for Redeterminations

This publication presents a checklist that provides an overview of the minimum redetermination requirements states must follow, and identifies some common red flags that may indicate failures by the Medicaid agency to meet those requirements.

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States Should Streamline Medicaid Enrollment and Renewal for Older Adults and People With Disabilities Ahead of Unwinding

As states prepare to unwind the COVID-19 pandemic-related Medicaid continuous coverage requirement and resume terminations of coverage as soon as April 1, this blog examines how they could streamline eligibility determinations for older adults and people with disabilities, who face unique challenges with the Medicaid enrollment and renewal process.

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States Should Use Federal Matching Funds to Ensure Adequate Staffing During “Unwinding” of Medicaid Continuous Coverage

This blog highlights the benefits of using federal matching funds to help states hire more people, raise wages, and temporarily bring back retired workers, and pay overtime.

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Pediatricians Urge State Leaders to Shield Children from Losing Medicaid Coverage

This blog reviews a new report that explores the high stakes for children when the continuous coverage protection expires.

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Reporting Requirements Related to Unwinding Medicaid Continuous Coverage: Considerations for Medicaid and the Marketplace

This blog outlines the relevant reporting requirements that were included in the CAA and the corresponding reporting guidance provided by CMS.

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CMS Announces Important Consumer Protection for People Losing Medicaid/CHIP

This blog covers key considerations to account for as the unwinding begins, including a newly announced special enrollment period (SEP).

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Supporting Continuity of Coverage from Medicaid into the Marketplace: Post-PHE Considerations for States

This blog highlights state strategies to maximize continuity of coverage for consumers coming off Medicaid and needing to transition to the marketplace.

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Implementing Changes to Medicaid Coverage for Former Foster Youth Could Be a Long, Bumpy Path but States Have Easier Option Available

This blog discusses that, though the law intended to cover ALL FFY and the provision seems straightforward, the way the law was constructed has many barriers and administrative burdens.

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Funding for Community Health Workers Authorized in Consolidated Appropriations Act – How could this help children and families?

This blog examines how the Consolidated Appropriations Act of 2023 will strengthen the CHW workforce and improve patient care.

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Improving Ex Parte Renewal Rates to Support Unwinding: Questions and Answers

This Q&A style blog discusses ex parte redeterminations in which Medicaid officials attempt to make a redetermination of an individual’s eligibility based on available data, without requiring additional information from the individual.

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Medicaid Unwinding: Medicaid Unwinding