Medicaid redetermination impacts county enrollment

Change over time in the median number of days for the Montana Department of Public Health and Human Services to process a redetermination, based on Modified Adjusted Gross Income (MAGI) and non-MAGI cases. (Federal Public Health Emergency Medicaid Unwind Data Report and Overview of Montana’s Process).

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The Medicaid redetermination process that concluded in March has created confusion, as many people have lost their coverage, some have been re-enrolled, and others are still awaiting resolution. Since state eligibility reviews began in April, 2023, one in ten Montana residents have lost coverage.

The disarray in Montana stems from Congress’ legislation in 2022 that ended continuous enrollment in Medicaid programs that had been sustained through the Covid-19 emergency. The law, which took effect Mar. 31, 2023, was intended to review eligibility — and to reverse the significant expansion in enrollment that had occurred since 2020.

In Jefferson County, 52% of residents renewed their Medicaid, 39% were disenrolled, and 8% have pending cases, according to June 2024 Federal Public Health Emergency Medicaid Unwind data for Montana. 

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