Eligibility, Enrollment, and Renewal Tools and Resources
This page includes the most current and relevant federal policy guidance and technical assistance materials designed to support state Medicaid and CHIP agencies in operating effective and efficient eligibility, enrollment, and renewal processes. The information is organized into the following topic-based sections:
Application and Fair Hearings Resources
This section contains guidance and technical assistance tools related to the Medicaid and CHIP application, enrollment and fair hearings process.
This section contains tools and resources designed to assist states in executing accurate eligibility renewal processes for Medicaid and CHIP beneficiaries.
Medicaid and CHIP Renewal Compliance
This section contains guidance and tools related to states’ and CMS’ efforts to monitor and achieve compliance with federal Medicaid and CHIP eligibility renewal process requirements.
Medicaid and CHIP Seamless Transitions
This section focuses on the intersections between Medicaid and CHIP eligibility, enrollment, and renewal processes.
Medicaid/Marketplace Coordination
This section contains guidance and resources to help states maximize efficiency and coordination of eligibility, enrollment, and renewal processes between Medicaid, CHIP and the health insurance Marketplace(s).
Information on Outreach Tools and Resources are available here.
Where can I access the Medicaid unwinding materials released between 2021 – 2024? |
In addition to the topic-based information provided above, the full catalog of materials related to unwinding from the continuous enrollment condition following the end of the COVID-19 public health emergency are available on the ARCHIVED: Unwinding and Returning to Regular Operations after COVID-19 page. |