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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.

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

Guidance (SHOs, CIBs, and FAQs)

Section 1902(e)(14)(A) Waiver Approvals

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

HHS and CMS host a series of monthly webinars on Medicaid and CHIP Continuous Enrollment Unwinding to educate partners. Topics covered during the webinar vary each month. Webinars take place the fourth Wednesday of each month from 12:00 - 1:00pm ET.