AHIP recommends key practices for state Medicaid programs during the process of breaking down continuous coverage requirements. These practices include effective communication plans, collaboration with Medicaid-managed care organizations, an expanded workforce, and transparent data through online dashboards. By employing these strategies, states aim to minimize coverage loss and ensure eligible individuals stay enrolled in Medicaid amidst the transition.
According to AHIP, implementing best practices during the unwinding of continuous coverage requirements in state Medicaid programs involves focusing on strong communications, a bolstered workforce, and transparent data. In a recent issue brief published on May 10, AHIP emphasized successful strategies employed by state Medicaid agencies. With an estimated 15 to 18 million individuals at risk of losing Medicaid coverage as the pandemic-related continuous coverage requirements are lifted, it becomes crucial to ensure effective implementation. States have been granted the authority to remove individuals who are no longer eligible for Medicaid or who fail to submit the required information from the Medicaid rolls since April 1. To mitigate the risk of coverage loss for as many people as possible, AHIP recommends the following four best practices:
- Developing Robust Communication Plans: States should establish comprehensive communication plans that utilize multiple channels of outreach. By utilizing various communication channels such as direct mail, phone calls, emails, and text messages, states can effectively inform beneficiaries about the need to recertify their eligibility and provide clear instructions on how to do so.
- Collaboration with Medicaid Managed Care Organizations (MCOs): Partnering with Medicaid managed care organizations can greatly enhance outreach efforts. MCOs can play a vital role in contacting enrollees, updating their contact information, and guiding individuals who are no longer eligible for Medicaid toward alternative coverage options. This collaboration ensures a more coordinated and streamlined approach to maintaining coverage for eligible individuals.
- Workforce Expansion and Support: To handle the increased workload associated with redeterminations, states should consider hiring additional staff dedicated to conducting eligibility reviews. Furthermore, providing adequate training and support to existing employees involved in the redetermination process is crucial to ensuring accuracy and efficiency. By bolstering their workforce and investing in training, states can optimize their redetermination processes.
- Creation of Online Dashboards: Establishing online dashboards can help improve transparency and keep the public well-informed. These dashboards can provide real-time updates on the progress of redetermination efforts, the number of individuals affected, and other relevant data. By making this information easily accessible, states can foster transparency, address concerns, and maintain public trust.
By implementing these best practices, states can strive to minimize coverage losses and ensure that eligible individuals remain enrolled in Medicaid. Strong communication, collaboration with MCOs, a well-supported workforce, and transparent data management are key elements in navigating the unwinding of continuous coverage requirements effectively.
