Government agencies have started reviewing
policies that were put in place to meet the needs of
states, localities, and the public during the height of the
COVID-19 pandemic. When the federal declaration of a public
health emergency (PHE) expires, many of the flexibilities
initiated during the PHE will need to be rolled back. This
return to pre-pandemic operations will have far-reaching
impacts for older adults and people with disabilities.
Changes in Medicaid enrollment and eligibility will be
particularly important—and potentially confusing or
disruptive—for current enrollees. The aging and disability
networks can prepare in advance for the coming changes to
best meet the needs of people who rely on Medicaid coverage
for essential services and supports.
The Families First Coronavirus Response Act
(FFRCA) prohibits states accepting extra Medicaid funding
from disenrolling anyone from their Medicaid programs (with
limited exceptions) during the PHE. While the Biden
Administration has not officially said when the PHE will
end, it has assured states that they will receive at least
60 days of advance notice. Upon the end of the PHE, states
will have 12 months to evaluate the eligibility of
virtually everyone in their Medicaid programs to make sure
they still qualify for the program.
ACL has developed a new fact sheet to help
grantees prepare for these eventual changes. The fact sheet
describes how FFCRA impacts Medicaid and details five
things the aging and disability networks should know:
- Medicaid beneficiaries should make
sure their Medicaid agency has their current contact
information. They should check their mail and be sure
to mail back any Medicaid forms they receive.
- All renewal forms and notices must
be accessible to people with limited English
proficiency and people with disabilities.
- Many people who are no longer
eligible for Medicaid will have other coverage
options.
- If someone is disenrolled or their
Medicaid coverage changes and they disagree with their
state Medicaid agency’s decision, they can appeal.
- The end of the Public Health
Emergency may lead to an increase in utilization of
services provided by Older Americans Act programs,
Centers for Independent Living, Assistive Technology
Act programs, and other ACL grantees.
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