Medicaid redetermination, also called renewal or recertification, is the process where states redetermine an individual’s eligibility for Medicaid. Medicaid redeterminations were paused in early 2020 due to the COVID-19 public health emergency (PHE). However, with the passage of recent legislation, states will resume the redetermination process and can end Medicaid coverage for individuals who are no longer eligible. Starting April 1, 2023, states will be starting the recertification process at different times and have until May 2024 to recertify their members.

 

There will be an outbound call and direct mail campaign for most D-SNP members. In most states, when a member falls into redetermination they will receive letters from UnitedHealthcare offering to help with the process. Eleven states are currently excluded from this outreach: Arizona (H0321-002 is excluded and H0321-004 is in scope), Florida, Indiana, Massachusetts, Minnesota, New Mexico, New Jersey, Tennessee, Virginia, Washington DC, and Wisconsin. This is subject to change. Please keep checking back here for the must current information.

 

Members need to provide authorization for us to assist in the redetermination recertification process. Below are the letters members will receive, as well as a copy of the letter agents will receive when a member is at risk of losing their SNP benefits, and a Social Government Referral Programs flyer to talk to members about the services and discounts we can connect them to—at no cost to them.

 

Medicaid redetermination, also called renewal or recertification, is the process where states redetermine an individual’s eligibility for Medicaid. Medicaid redeterminations were paused in early 2020 due to the COVID-19 public health emergency (PHE). However, with the passage of recent legislation, states will resume the redetermination process and can end Medicaid coverage for individuals who are no longer eligible. Starting April 1, 2023, states will be starting the recertification process at different times and have until May 2024 to recertify their members.

 

There will be an outbound call and direct mail campaign for most D-SNP members. In most states, when a member falls into redetermination they will receive letters from UnitedHealthcare offering to help with the process. Eleven states are currently excluded from this outreach: Arizona (H0321-002 is excluded and H0321-004 is in scope), Florida, Indiana, Massachusetts, Minnesota, New Mexico, New Jersey, Tennessee, Virginia, Washington DC, and Wisconsin. This is subject to change. Please keep checking back here for the must current information.

 

Members need to provide authorization for us to assist in the redetermination recertification process. Below are the letters members will receive, as well as a copy of the letter agents will receive when a member is at risk of losing their SNP benefits, and a Social Government Referral Programs flyer to talk to members about the services and discounts we can connect them to—at no cost to them.