Healthcare Innovation October 2, 2023
Brenda Silva

Inaccurate disenrollment halted and coverage regained for children and families

As the result of a systems issue that caused improper disenrollment, a call to action to states by the Centers for Medicare & Medicaid Services (CMS) in August helped almost 500,000 people reinstate their Medicaid and Children’s Health Insurance (CHIP) coverage. This action is also expected to protect additional individuals from similar improper disenrollment in the future.

According to the CMS, a systems issue inappropriately disenrolled children and families, even when the state had information indicating that they remained eligible for Medicaid and CHIP coverage. To-date, 30 states reported having this systems issue, with all “required to pause procedural disenrollments for impacted people unless they could ensure all eligible people...

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Topics: CMS, Govt Agencies, HHS, Insurance, Medicaid, Patient / Consumer, States
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