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PHE Unwinding - LEA Quick Reference Guide

PHE Unwinding - LEA Quick Reference Guide

Quick Facts

  • Public Health Emergency (PHE) will expire on 5/11/2023.
  • Continuous coverage requirement ends as of 4/1/2023.
  • Medicaid redeterminations begin on 4/1/2023.
  • Redetermination timelines will vary by state. See map for details.
  • Enhanced Federal Medical Assistance Percentage (FMAP) will begin to phase out, and fully expires 1/1/2024.
  • It is estimated that between 5 – 14 million people could lose their Medicaid coverage.
  • A reduced Medicaid eligibility rate will impact school-based Medicaid claiming reimbursements.
  • Medicaid outreach is reimbursable via Medicaid Administrative Claiming (MAC) programs, as activities will be captured in Random Moment Time Study (RMTS), for LEAs that participate in MAC.

 

Next Steps

  • Local Education Agency (LEA) point of contact: your State Medicaid Agency.
  • Don’t wait! Update! Encourage enrollees to update their address. Undeliverable mail will be a significant challenge.
  • Educate Medicaid and CHIP enrollees about the upcoming changes, using available toolkits:

Stay Informed