The current Medicaid continuous coverage requirement enacted by the Families First Coronavirus Response Act prohibits states from disenrolling individuals from Medicaid for the duration of the public health emergency (PHE) as a condition of accessing enhanced federal Medicaid funding. When the PHE ends, state Medicaid agencies will need to conduct a full redetermination for all individuals with a pending Medicaid renewal.
Improving ex parte rates as part of the Medicaid renewal process is one of the most effective tools available to states to mitigate coverage loss for eligible individuals post-PHE. As states develop their unwinding policies and operational plans in readiness for the end of the PHE, improving ex parte rates should be at the top of their priority list.
In a toolkit prepared for the Robert Wood Johnson Foundation’s State Health and Value Strategies program, Manatt Health provides a diagnostic assessment that can be used by states to examine current ex parte processes and identify and deploy additional strategies that could increase their ex parte rates.
To access the toolkit, click here.