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Medicaid Redetermination auto assignment

Medicaid enrollees in Maryland going through redetermination who are no longer eligible for Medicaid coverage will be automatically assigned to a new On-Exchange individual plan through Maryland Health Connection (MHC) to avoid losing coverage and access to care.

Client auto assigned to a Kaiser Permanente plan

If your client is auto assigned to a Kaiser Permanente plan, they will receive communications from MHC about their options and next steps.

  • If your client’s premium is $0 after subsidy:
    • Client must log into their MHC account to confirm the Kaiser Permanente plan chosen for them by MHC. If your client does not confirm by the deadline, MHC will cancel the enrollment
    • Client can select a different plan by the deadline
    • Action required: Individuals must confirm enrollment through their MHC account for their coverage to become effective. The effective date of coverage will be the first day of the month after the individual confirms enrollment. For example, if an individual confirms enrollment on 7/6/2023, the effective date will be 8/1/2023.
  • If your client’s premium is greater than $0 after subsidy:
    • Client can keep the plan they were auto assigned by making the binder payment within 30 days of the coverage effective date. These individuals must pay their binder payment by the due date to fully enroll in the plan chosen for them by MHC
    • Client can select a different plan by the deadline, cancel the Exchange plan selection completely; or take no action
    • Action required: Individuals must submit their binder payment to Kaiser Permanente by the due date for their coverage to become effective. The effective date of coverage is the first day of the month after MHC auto assigns the individual. For example, if MHC auto assigns the individual on 7/1/2023, the policy effective date will be 8/1/2023.

Client auto assigned to another carrier

If your client was auto assigned to another carrier and wants to change to Kaiser Permanente:

  • Client can log into their MHC account and select “Change My Plan”

Medicaid enrollees have up to 60 days to select an alternate Exchange plan after losing Medicaid eligibility. If the deadline is missed, your client can contact MHC to see if they qualify to apply for a new plan with a qualifying life event or applicable Special Enrollment Period.