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Unwinding and Returning to Regular Operations after COVID-19

The expiration of the continuous coverage requirement 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 have been required to maintain enrollment of nearly all Medicaid enrollees. When the continuous coverage requirement expires, states will have up to 12 months to return to normal eligibility and enrollment operations. 

Additionally, many other temporary authorities adopted by states during the COVID-19 public health emergency (PHE), including Section 1135 waivers and disaster relief state plan amendments (SPAs), will expire at the end of the PHE, and states will need to plan for a return to regular operations across their programs. CMS will continue to update this page as additional tools and resources are released. 

Unwinding Guidance

Section 1902(e)(14)(A) Waivers

State Reporting

Tools and Templates

Communications Tools and Speaking Requests

Other Guidance and Resources

Medicaid/Marketplace Coordination

State Technical Resource Guide for FFM Assessment & Determination States

CMCS Medicaid and CHIP All State Calls

Partner Education on Medicaid and CHIP Continuous Enrollment Unwinding Webinars