1、1EXECUTIVE INSIGHTSPHE Unwinding Impact on Medicaid Redeterminations In January 2020,the Department of Health and Human Services(HHS)issued a public health emergency(PHE)soon after the first cases of COVID-19 were detected in the U.S.In March 2020,Congress passed the Families First Coronavirus Respo

2、nse Act(FFCRA),which,among other provisions,put in place controls to ensure those in need had access to care during the pandemic.These provisions included:1 A temporary increase of 6.2 percentage points in the Federal Medical Assistance Percentage(FMAP)the federal governments share of Medicaid costs

3、 to qualifying states A maintenance of effort(MOE)protection,also known as“continuous coverage,”which prevents states that receive the increased FMAP from terminating peoples Medicaid coverage during the PHEThe PHE was renewed 12 times in 90-day increments,keeping in place the increased FMAP and MOE

4、 protections for Medicaid,before President Joe Biden announced its end date of May 11,2023.During this same time,estimated enrollment in Medicaid and the Childrens Health Insurance Program(CHIP)approached 92 million as of November 2022,an increase of over 21 million since February 2020;2 however,on

5、Dec.29,2022,President Biden signed the Consolidated Appropriations Act of 2023.This Act allows eligibility terminations to begin on April 1,2023,permitting states to begin initiating renewals that may result in eligibility terminations as early as Feb.1,2023,or at the latest by April 2023,giving eac

6、h state 12 months from its starting point to initiate all renewals,and 14 months from its start to complete all renewals.3 Additionally,the act granted a gradual phaseout of the 6.2 percentage point FMAP enhancement beginning in April 2023 and ending on Dec.31,2023.4 2 L.E.K.ConsultingEXECUTIVE INSI