Meeting the Medicaid Redetermination Challenge

Opportunities to identify ineligible enrollees, prioritize outreach and coordinate benefits

Now that the national COVID-19 Public Health Emergency (PHE) has lifted, Medicaid agencies need to efficiently process large volumes of eligibility redeterminations and effectively communicate with enrollees and health plans about qualification and coverage changes.

In our latest issue brief, we explore:

• The challenges Medicaid leaders face as they redetermine 90M+ enrollees
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• How access to timely member coverage data supports this process
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• Tips for approaching eligibility and payment accuracy after the PHE expiration