Purpose: This section will assist in determining eligibility and processing of renewals during the unwinding of Continuous Enrollment in Medicaid and CHIP .

Current Policy Effective Date: April 1, 2023

Date Last Reviewed: October 7, 2023

Previous Policy:

POL M140 7 : R ENEWAL P ROCESSING PROCEDURES DURING THE UNWINDING OF THE CONTINUUS ENROLLMENT IN MEDICAID AND CHIP

1. Benefits May Not Be Closed Or Reduced Until A Renewal Opportunity Is Provided To An Ongoing Client

With CMS' approval, The Agency selected April 1, 2023, as the date to end the Continuous Enrollment Requirement in Medicaid and CHIP .

The Agency opted to hold procedural closures as part of a Mitigation Plan with CMS until August 1, 2023.

2 Effective June 2023, Ongoing EID Clients Will Resume Paying Premiums After His Or Her Renewal, If Determined Eligible

3. New 563B's Are Provided By The DFS Child Support Office And Sanctions Enforced Beginning April 1, 2023, After Renewal is Completed And Adult Is Determined Otherwise Eligible

4. Birth Cost Sanctions Are Being Enforced Once The Client Completes Her Postpartum Period After Renewal Is Completed And She Is Determined Othewise Eligible

5. Resources Are Not Being Considered During Renewal Until April 2024

Resources are considered when switching programs with different resource requirements at the time of the renewal as this is considered a new application.

Notices may be sent as a courtesy to clients who may be over the resource standard for their programs at renewal informing them they would possibly no longer be eligible if resources were being considered.

6. Clients Closed August 1, 2023, For Procedural Reasons Will Be Reprocessed Via Manual Ex Parte And Reopened If Determined Eligible

7. Manual Ex Partes Will Be Conducted For All Clients Prior To Closing For Procedural Reasons Until Individual Ex Parte Is Enabled Systematically In WES