Continuous Eligibility Policies And CHIP Structure Affected Children’s Coverage Loss During Medicaid Unwinding

Health Affairs March 1, 2025
Erica Eliason, Daniel Nelson, Aditi Vasan

Abstract

In April 2023, with the “unwinding” of the Families First Coronavirus Response Act (FFCRA) continuous enrollment provisions in Medicaid, states were permitted to commence redetermination and disenrollment procedures for Medicaid beneficiaries. Using Centers for Medicare and Medicaid Services monthly state enrollment data for forty-nine states and Washington, D.C., from the period January 2021–December 2023, we examined changes in children’s Medicaid and Children’s Health Insurance Program (CHIP) coverage during the Medicaid unwinding, both overall and by whether states had previous twelve-month continuous eligibility policies for children and by the structure of states’...

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