Medicaid and the Possible PHE Expiration

September 16, 2020

Since the start of the Public Health Emergency (PHE) in March 2020, many states, including Arizona, suspended all Medicaid disenrollment (unless a member moved out of state, voluntarily disenrolled, died, or aged out program), per federal requirements. The PHE is scheduled to expire on Oct. 22, 2020 unless the United States Secretary of the Department of Health and Human Services opts to extend it. It is important to start planning for this.

Even though no member will be disenrolled, regardless of eligibility, until after the PHE ends, it would be wise to start planning ahead for the anticipated verification requests for those that you know have a pending redetermination, or eligibility issue. If you have a client that currently is receiving Medicaid benefits only because of the hold in disenrollment, create a plan, gather documentation, work with the eligibility workers to determine next steps!

You will likely start seeing requests for information going out in September. Members who receive a request for additional information are urged to respond in a timely manner so eligibility can be re-determined and renewed once the PHE ends. How can you help? Please check out the attachment below for a quick reference to-do list for your Medicaid (ALTCS) Members in your care.

PHE Reference Sheet