Meeting the Medicaid Redetermination Challenge

Opportunities to identify ineligible enrollees, prioritize outreach and coordinate benefits

The national COVID-19 Public Health Emergency (PHE) likely lifting in the coming months. Medicaid agencies will need to efficiently process large volumes of eligibility redeterminations, effectively communicating with enrollees and health plans about qualification and coverage changes.

In our latest issue brief, we explore: 

• The challenges Medicaid leaders face as this deadline approaches 
• How access to timely member coverage data supports redetermination management
• Eligibility and payment accuracy after the PHE expiration