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ARCHIVED: Unwinding and Returning to Regular Operations after COVID-19

The full catalog of materials related to unwinding from the continuous enrollment condition following the end of the COVID-19 public health emergency have been archived and are available here

As part of the COVID-19 public health emergency, Congress authorized a temporary 6.2 percentage point Federal Medical Assistance Percentage (FMAP) increase under the Families First Coronavirus Response Act (FFCRA) of 2020 and required states to maintain enrollment of nearly all Medicaid enrollees – known as the “continuous enrollment condition.” 

The Medicaid continuous enrollment condition ended on March 31, 2023. The Centers for Medicaid and CHIP Services (CMCS) released an extensive series of policy, systems, and regulatory guidance, as well as eligibility and enrollment flexibilities and best practices to help states return to normal operations and conduct eligibility renewals for all Medicaid and CHIP enrollees

Materials that remain relevant and consistent with current law and policy related to Medicaid and CHIP eligibility and enrollment can be found on the Eligibility, Enrollment, and Renewal Tools and Resources page and in the Federal Policy Guidance section of this website.

The full catalog of Unwinding guidance and technical assistance materials released between 2021 and 2024 is available below.

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

Outreach and Educational Resources

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.

Other Materials and Resources

Unwinding Documents