Centers for Medicare & Medicaid Services (CMS) has provided guidance that State Medicaid agencies must resume eligible renewal (redetermination) activities between February 1 and April 1, 2023.
Given this news, it is imperative that we help our Medicaid members renew their Medicaid benefits, so they don’t lose their health coverage and continue to receive uninterrupted care. Below is a list of frequently asked questions and other valuable resources to help educate your patients on the importance of updating their contact information and renewing their Medicaid coverage.
Frequently Asked Questions (FAQs):
When Medicaid renewals resume, most Medicaid recipients will need to go through a renewal process to keep their Medicaid eligibility and benefits. We need your help to ensure your Medicaid patients don’t lose coverage. Below are answers to some common questions that might help guide your patients through this process.
Q: When will the normal Medicaid enrollment and renewal process resume?
A: CMS has provided guidance that State Medicaid agencies must resume renewal activities between February 1 and April 1, 2023. Ohio State is resuming renewals as of February, 2023 with the first disenrollments occurring on April 30, 2023.
A: First and foremost, all Medicaid recipients should make sure their contact information, including their mailing address and phone number(s) are up to date with their County Department of Job and Family Services (CDJFS) to ensure they receive important notices about the renewal process.
Learn how our members can update their contact information with the state and Molina online at MolinaHealthcare.com/UpdateMyInfo/OH.
Ask our members, your patients, to make sure they keep an eye out for information and notices about their coverage and renewal process from CDJFS and respond quickly to any instructions they receive.
Learn more about the renewal process for members and the assistance available to them online at MolinaHealthcare.com/KeepMyHealthPlan/OH.
Q: What happens if an individual is no longer eligible for Medicaid and loses coverage?
A: If an individual no longer qualifies for Ohio Medicaid coverage they will get:
- A notice in the mail with the date their Medicaid coverage will end
- Information on how to file an appeal, if they think the decision to cancel their coverage was incorrect
Q: What are some other choices for health coverage if an individual no longer qualifies for Medicaid?
A: Individuals should contact their state Medicaid agency to see what other options are available. If a member no longer qualifies for Medicaid, they might be eligible for a Marketplace or Medicare health plan.
Q: How can I know when my Molina Medicaid patients are up for renewal?
A: If a Molina patient is up for renewal and they need to take action, an alert will show on the Eligibility & Benefits section in Availity.
Steps to view if member has an alert:
- Log in to Availity
- Choose to do an Eligibility and Benefits Inquiry
- Enter members information and click submit
- Enter in either Molina Member ID or ProviderOne ID along with Date of Birth and select state of residence
- If you do not have the Member ID then you will need to enter First Name, Last Name, Date of Birth and select the state of residence.
- If the member has a renewal date coming within 60 days and needs to take action, a message will display with their renewal date
- If the member does not have a renewal date coming within 60 days and/or does not need to take action, a message will not appear
Q: How can I get more information about the restart of the renewal process?
A: Please contact your Provider Services Representative if you have any questions or would like more information.