Medicaid Unwinding Discussion

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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  • Send personalized messaging on preferred digital channels to address returned mail and outdated contact information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



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



Tell Your Story

Tell us how these changes will impact you as an enrollee and how we can make the transition smooth for you

Thank you for sharing your story with us.

All fields marked with an asterisk (*) are required.

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  • Share Very excited on Facebook Share Very excited on Twitter Share Very excited on Linkedin Email Very excited link

    Very excited

    by mjwj2, about 1 year ago

    Me too. I think this is great. Can't wait for more details.

  • Share I'm not sure I understand on Facebook Share I'm not sure I understand on Twitter Share I'm not sure I understand on Linkedin Email I'm not sure I understand link

    I'm not sure I understand

    by mjwj2, about 1 year ago

    I also didn't know this was happening and I will follow along for more details as they are published.

  • Share Easy Process on Facebook Share Easy Process on Twitter Share Easy Process on Linkedin Email Easy Process link

    Easy Process

    about 2 years ago

    I would encourage others to use the resources on here for medicaid unwinding. At first, I was overwhelmed by the change but now I have a better understanding and have insurance for this little guy.

  • Share I'm confused on Facebook Share I'm confused on Twitter Share I'm confused on Linkedin Email I'm confused link

    I'm confused

    about 2 years ago
    I didn't know this was happening and I will follow along for more details as they are published
  • Share I'm so excited on Facebook Share I'm so excited on Twitter Share I'm so excited on Linkedin Email I'm so excited link

    I'm so excited

    about 2 years ago
    This is wonderful and I can't wait to see what changes come. I've been wanting to move off medicaid and onto the state marketplace. Can't wait for more details.
  • Share This will be so hard on me on Facebook Share This will be so hard on me on Twitter Share This will be so hard on me on Linkedin Email This will be so hard on me link

    This will be so hard on me

    about 2 years ago
    Me and my three children rely on CHIP to get critical care for my sick child. I only qualify because of the expansion and I'm scared if I lose this coverage
Page last updated: 29 Jan 2024, 10:09 AM