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Medicaid Coverage Changes Effective April 1

April 1 marked two major Medicaid changes as the Centers for Medicare & Medicaid Services (CMS) begins unwinding policies tied to the COVID-19 public health emergency (PHE).

The temporary increase in the federal medical assistance percentage (FMAP) tied to the continuous enrollment requirement enacted during the COVID-19 PHE will decrease from 6.2 percent to 5 percent for all states. The 5 percent FMAP increase will last through June 30 and drop to 2.5 on July 1.

April 1 also marked the first day states can begin disenrolling Medicaid beneficiaries after CMS implemented the continuous enrollment requirement to provide coverage during the COVID-19 pandemic.

Five states — Arizona, Arkansas, Idaho, New Hampshire, and South Dakota — were scheduled to begin disenrolling Medicaid beneficiaries on April 1. Arizona plans to take 12 months to return to normal Medicaid operations, while New Hampshire and South Dakota plan to process no more than one-ninth of their Medicaid rolls per month, per CMS recommendations. Arkansas and Idaho plan to complete their redeterminations in eight months.

Contact Senior Director of Policy Erin O’Malley at or 202.585.0127 with questions.


About the Author

Julie Kozminski is a senior policy analyst at America's Essential Hospitals.

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