Up to 15 million Americans, including nearly 6 million children, could be at risk of losing their Medicaid eligibility next month when the public health emergency expires
Every morning when Christina Preston enters the West Community Opportunity Center, which serves Ohio’s Franklin County, she knows she and her staff are going to be flooded with calls and applications from people in desperate need of help.
, which passed in March 2020, prevented states from removing Medicaid recipients from the program’s rolls. At least 11 million people have enrolled in Medicaid since February 2020. Contending with Medicaid disenrollment next year is “the looming monster,” said Preston, who compared it to the overwhelming number of calls and cases around the country when aThe trouble is that enrollees in crisis may also run into local agencies suffering through staffing shortages and morale issues.
This is of particular concern because many people moved during the pandemic, and a large number of those who receive Medicaid were also caught up in the eviction crisis, said Stan Dorn, director of the National Center for Coverage Innovation at Families USA, a left-leaning consumer health advocacy group.
With the federal funding to state Medicaid programs expected to draw down quickly in the months after the public health emergency ends, some states are debating at what pace to go through the process of trimming the rolls. “That’s just for Medicaid. We’re not talking about SNAP. We’re not talking about cash assistance, and there are new applications that have to be processed, as well,” Crawley said. “We’re talking about maybe upwards of 15,000 hours of overtime that would need to be approved for these to be processed.”
Across the country, however, federal and state officials are preparing for and debating ways to address a herculean administrative task that could have a huge bearing on states’ budgets and the amount of people in their state with health care coverage. The agency prepared a checklist for states to encourage them to begin communicating the changes and to work closely with health care navigators, community groups and others to ensure as smooth a transition as possible.
States, such as those that declined Medicaid expansion, could again decide to forgo the additional federal funds and avoid all of those guardrails and administrative burdens.
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