Congress passed legislation which ends the Medicaid continuous enrollment requirement related to the COVID-19 pandemic on April 1, 2023. At that time, AHCCCS will be required to reverify the eligibility status of all enrolled AHCCCS and KidsCare members. Members will be notified prior to their month of renewal. The Biden administration announced its intention to end the federal public health emergency on May 11, 2023.
Preparing for the End of COVID-19: Return to Regular Renewals
Regular Medicaid Renewals Begin April 1, 2023
Since the start of the COVID-19 pandemic in 2020, AHCCCS has not disenrolled most AHCCCS members, regardless of eligibility.
Because of the Consolidated Appropriations Act (CAA) that was enacted in December 2022, AHCCCS is required to begin the regular renewal process for all Medicaid and KidsCare members. This means that starting April 1, 2023, AHCCCS will begin disenrolling members who are determined to be no longer eligible.
We’re working with community partners, advocates, and members to make sure eligible members remain covered, and that those who are no longer eligible are referred to sources for other health care coverage options.
To ensure that members do not experience any gap in health care coverage, AHCCCS asks all members to:
- Make sure their mailing address, phone number, and email address on file is correct in www.healthearizonaplus.gov. Login or call Health-e-Arizona Plus at 1-855-HEA-PLUS (1-855-432-7587), Monday through Friday 7:00 a.m. - 6:00 p.m. Review the Updating Your Contact Information flier English / Spanish to learn how to update your contact information in Health-e-Arizona PLUS.
ALTCS members need to call 1-888-621-6880 to update their address or to get help completing their renewal.
- Check their mailbox for a letter from AHCCCS about renewal of coverage.
- Respond to any requests from AHCCCS for more information so the agency can accurately determine eligibility.
For more help, members may contact their health plan or a community assistor organization that can help individuals navigate the Medicaid or KidsCare renewal process. Health plan member services departments can assist as well. AHCCCS members can find the number for their health plan’s members services department on their member ID card or on the AHCCCS Available Health Plans web page.
Approximately 75% of eligibility determinations are able to be completed automatically and members will not need to take any action. If their eligibility is continued, then they will remain enrolled and will receive a summary letter that says, “If the information on the summary is correct, you do not need to do anything. You do not need to call or contact AHCCCS.”
Individuals who no longer qualify for AHCCCS or KidsCare may have other health care coverage options through the HealthCare Marketplace. See HealthCare.gov or call 2-1-1 for help.
Resources for Communities
- Member Awareness of PHE Flier [English] [Spanish], 4/5/22
- Get Ready To Renew Flier [English] [Spanish], 4/8/22
- Unwinding COVID-19 Programmatic Flexibilities, 5/12/22 (presentation)
- Summary of Public Health Emergency Operational Unwinding Plan, 7/14/22
- End of Continuous Enrollment Fact Sheet, 1/27/23
- End of Continuous Medicaid Enrollment Toolkit, 2/1/23 Toolkit Collateral, 2/1/23
Resources for MCOs
- Returned Mail Best Practices, 3/17/22
- Frequently Asked Questions, 4/18/22
- Returning to Normal Provider Enrollment web page
COVID Renewal Data
Frequently Asked Questions
- WHAT IS THE PUBLIC HEALTH EMERGENCY AND HOW DOES IT AFFECT MEMBERS?
At the beginning of the COVID-19 pandemic, the federal government declared a public health emergency (PHE). During the PHE, Medicaid agencies have not disenrolled most members, even if someone's eligibility changed.
As of Dec. 29, 2022, the PHE is no longer tied to the Medicaid continuous enrollment requirement.
- WHAT WILL HAPPEN WHEN RENEWALS BEGIN? Starting April 1, 2023, AHCCCS will begin disenrolling members who no longer meet Medicaid or KidsCare eligibility requirements. This process will take 12 months. Here’s what will happen:
- When a member’s renewal is due, AHCCCS will attempt to determine eligibility automatically. Approximately 75% of eligibility determinations are able to be completed automatically and members will not need to take any action. If their eligibility is continued, they will receive a summary letter that says, “If the information on the summary is correct, you do not need to do anything. You do not need to call or contact AHCCCS.”
- Members whose eligibility cannot be automatically determined will receive a written request from AHCCCS that more information is needed. They must respond within 30 days..
- AHCCCS cannot disenroll a member whose mail is returned undeliverable until making other good-faith attempts to contact the member.
Members who are no longer eligible for Medicaid will be referred to the Healthcare Marketplace and other sources for coverage options (see www.healthcare.gov).
Members can do four things:
- Make sure your mailing address, phone number, and email address is correct. Login to www.healthearizonaplus.gov, or call Health-e-Arizona Plus at 1-855-HEA-PLUS (1-855-432-7587), Monday through Friday 7:00 am - 6:00 pm.
- Check your mailbox for a letter from AHCCCS about renewal of coverage. Your letter will either inform you of your eligibility status and tell you no response is needed, or ask for additional information. The envelope will look like this:
- Respond to any requests from AHCCCS for more information so the agency can accurately determine your eligibility.
- Sign up for texts or emails from AHCCCS about your renewal. Login to (or create) your Health-e-Arizona Plus account. Go to “Message Center” on the toolbar. Click on “Manage My Alerts and Letters.” Choose the preferred letter and alert options. You may choose email, text, or both.
No, AHCCCS and the Arizona Department of Child Safety (DCS) will update all information for members in foster care.
Renewal dates are often based on the month when you first enrolled. However, an individual’s renewal date may change as we align renewal dates for household members or with Nutrition Assistance (SNAP) renewal dates. Login to www.healthearizonaplus.gov to check your renewal status.
When possible, AHCCCS is aligning households by the Medical Assistance (MA) date for Medicaid and KidsCare annual renewal. For families who receive Nutrition Assistance (SNAP) benefits, the SNAP and MA renewal dates will be aligned.
In most cases, yes, unless you have moved and your current health plan is not available in your new location.
If AHCCCS determines that you no longer qualify for Medicaid, you will receive:
- Notice of when your enrollment will end,
- Information on how to appeal that decision if you believe the disenrollment was in error, and
- Information about other health care coverage options available from Healthcare.gov.
- Find health insurance options at www.healthcare.gov.
- Visit 2-1-1 or www.211.org for help.
- Veterans can find more health care resources at www.beconnectedaz.org.
Yes, AIHP and Fee-for-Service members, including Federal Emergency Services enrollees, are included in the renewal process.
AHCCCS is working with its partners across the state to reach members in rural areas, those without internet access, and those experiencing homelessness. AHCCCS has conducted several outreach campaigns that included letters by mail, phone calls, and text messages.
- Contact the Social Security Administration to begin your application for Medicare. Your Medicare or Medicare Part D coverage will become effective only at certain times of the year, depending on when you apply.
- If you did not sign up for Medicare or Medicare Part D Prescription Drug Coverage when you turned 65, you may be required to pay higher out-of-pocket costs for your monthly premiums. Contact the Social Security Administration Medicare or Medicare (www.Medicare.gov) or (1-800-MEDICARE) with questions.
- Depending on your situation, you may be eligible to participate in the Medicare Savings Program for some of your Medicare costs. During their renewal period, AHCCCS will help members determine whether they qualify for other AHCCCS programs.
- For more help with Medicare questions contact the Arizona State Health Insurance Assistance Program (SHIP) at 1-800-432-4040 or des.az.gov/services/older-adults/medicare-assistance.
- ALTCS members need to call the ALTCS Customer Service number, 888-621-6880, to change their contact information or to get help with their renewal.