Pennsylvania resumed their redetermination process for current Medicaid members February 1, 2023.

The Families First Coronavirus Response Act (FFCRA) provided states with additional Medicaid funding. To receive additional funding, a state was required to pause all Medicaid disenrollment.

The pause on Medicaid disenrollment is now ending and states will resume Medicaid redeterminations of eligibility and disenrollment of those determined to be ineligible for Medicaid coverage.

Loss of eligibility for Medicaid is a Qualifying Event for Special Enrollment on the Marketplace. Many of these individuals could be eligible for financial assistance on the Marketplace and will need enrollment assistance from a broker.

Visit the Medicaid Redetermination Resource Center for important updates and state-specific resources.

As always, please contact your Total Benefit Solutions health insurance specialists with any questions or concerns today at (215)355-2121.