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Unwinding and Returning to Regular Operations after COVID-19

The expiration of the continuous enrollment condition authorized by the Families First Coronavirus Response Act (FFCRA) presents the single largest health coverage transition event since the first open enrollment period of the Affordable Care Act. As a condition of receiving a temporary 6.2 percentage point Federal Medical Assistance Percentage (FMAP) increase under the FFCRA, states were required to maintain enrollment of nearly all Medicaid enrollees during the COVID-19 Public Health Emergency.

The Consolidated Appropriations Act, 2023, delinked the end of the FFCRA’s Medicaid continuous enrollment condition from the end of the COVID-19 Public Health Emergency. As a result, the Medicaid continuous enrollment condition will end on March 31, 2023. States will soon resume normal operations, including restarting full Medicaid and CHIP eligibility renewals and terminations of coverage for individuals who are no longer eligible. Beginning April 1, 2023, states are able to terminate Medicaid enrollment for individuals no longer eligible. States will have up to 12 months to return to normal eligibility and enrollment operations.

For more information about the resumption of Medicaid renewals, read: 

CMS will continue to update this page as additional tools and resources are released.

Guidance (SHOs, CIBs, and FAQs)

Section 1902(e)(14)(A) Waivers and Other Strategies

Data Reporting

Policy & Operational Resources

Renewals, Redeterminations, and Other Program Requirements

Best Practices & Strategies to Support Specific Populations

Planning Tools & Templates

Systems Resources

Communications Resources and Speaking Requests

Medicaid/Marketplace Coordination Resources

State Technical Resource Guide for FFM Assessment & Determination States

CMCS Medicaid and CHIP All State Calls

In March of 2020, CMCS launched a regular All State Call series to bring the latest information available to support states and territories as they respond to the COVID-19 public health emergency and prepare for unwinding of COVID-19 flexibilities.

Partner Education on Medicaid and CHIP Continuous Enrollment Unwinding Webinars

  • CMS hosts partner education webinars to keep partners informed on new information and resources related to Medicaid and CHIP renewals. Check the Outreach and Educational Resources page for updates on future webinar dates.
  • Find recordings, transcripts, and slides from past webinars  on the CMS National Stakeholder Calls webpage.
  • Are you looking for an HHS or CMS representative to speak about Medicaid and CHIP renewals? Fill out this Speaking Request Form to have someone from HHS or CMS speak at an upcoming event.

Other Materials and Resources

Unwinding Documents