Medicaid Unwinding Discussion

What is Medicaid Unwinding?

“Unwinding” is the process by which states will resume annual Medicaid eligibility reviews after the PHE ends.

What challenges could this pose to enrollees?

• Knowing they must complete a renewal. Some enrollees may have moved during the pandemic and won’t receive notice that their renewal is due if they have not updated their mailing address or other contact information with the state.
• Completing the renewal. Renewal forms are often confusing and action steps for enrollees may not be clear. Further, not all states allow enrollees to complete their renewal online or over the phone.
• Transitioning to other coverage. Those no longer eligible for Medicaid may not know they can obtain coverage through the Affordable Care Act marketplace, or they may not be aware of what steps they must take to enroll.
• Dealing with loss of coverage. Due to paperwork barriers and other challenges, many people who remain eligible will lose coverage, experience a gap, and must reapply to return to Medicaid.

What challenges do states face?

• Renewals & Determinations
• Updating Enrollee Contact Information
• Workforce Capacity
• Outreach, Partnerships & Communication

How can Granicus' Enrollment360 help?

• Ensure timely, relevant information is delivered for opt-in participation and engagement from enrollees
• Send personalized messaging on preferred digital channels to address returned mail and outdated contact information
• Utility the expertise of GXG to augment the workforce and maximize data-driven insights to reduce program risk
• Develop a segmented communications strategy by leveraging web, email and subscriber information