On April 1, 2023, Maryland and Virginia began the annual Medicaid redetermination process for each Medicaid enrollee to ensure that they are still eligible for Medicaid benefits. During this process, some enrollees will lose eligibility and as a result, lose their Medicaid coverage.
Individuals who lose Medicaid coverage in D.C. and Virginia:
In Maryland, if a Medicaid enrollee is determined no longer eligible, the state will automatically assign the enrollee to an ACA plan. They will still need to take action within 60 days to enroll in the new plan. Enrollees who are auto assigned can still change their coverage to a different plan or carrier if they choose. Visit the state marketplace for more information.
For those individuals who no longer qualify for Medicaid, they still have choices for quality, affordable coverage. Coverage options may include:
Brokers play an important role in helping consumers and your group clients navigate the complex world of health care coverage every day. Medicaid enrollees losing Medicaid coverage will need help understanding their options to stay covered and finding the right plan for their unique needs.
During this transitional period for consumers, you can earn an additional bonus for new Kaiser Permanente for Individual and Family (KPIF) plan sales.
Resources you can use
Use the tools below to share information about coverage options with individuals and your group clients with employees who have lost Medicaid coverage:
