Stop, Drop and Reenroll: How Medicaid Redeterminations, Renewals, and Disenrollment Can Affect the Revenue Cycle

MedCity News April 3, 2023
Rebecca Falk and Lindsay Burrows

Florida healthcare providers are prone to experience unpredictable changes in the revenue cycle when Medicaid plans begin the redetermination, renewal, and disenrollment process.

When Congress enacted the Families First Coronavirus Response Act as a response to the Covid-19 Public Health Emergency Declaration (“Covid PHE”), it provided for a significant increase in federal funding for Medicaid and Children’s Health Insurance Programs on the condition that such programs provide for automatic reenrollment throughout the Public Health Emergency period and for one month after. As such, since the Public Health Emergency was declared, Medicaid programs allowed enrollees to remain enrolled even if they were ineligible and Medicaid organizations did not perform any reviews to confirm enrollees’ eligibility. This caused Medicaid enrollment to grow...

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