PHOENIX – The Arizona Health Care Cost Containment System (AHCCCS) released its monthly Medicaid renewal data dashboard. Renewals began April 1, and now, at the midpoint of the process to renew all 2.5 million enrolled members, more than one million have maintained their Medicaid coverage.
Of the renewals initiated in September, 83% of members maintained coverage and 73% of those renewals were automatically determined without the need for members or state workers to take action to determine eligibility.
More than 110,000 members who have been disenrolled since April for not responding to the agency’s request for information have taken advantage of the 90-day window to finish their renewal. 52,863 met eligibility criteria and had coverage reinstated.
To date, 39% of all enrolled members have met eligibility criteria and maintained coverage, 13% have not met eligibility criteria and have been discontinued, and the remaining 48% are in process or not yet initiated.
Members may be discontinued if they no longer meet income or other eligibility criteria, (called “factual” disenrollment) or if their renewal is incomplete (called “procedural” disenrollment).
The number of procedural disenrollments includes members who may be over the Medicaid income limit, but who didn’t respond to the agency’s requests to verify income. Of the 289,124 who have been discontinued, 26% were factually ineligible and 39% were procedurally ineligible while appearing to exceed income limits.
Procedurally disenrolled members may have health care coverage from other sources, like employer-based insurance, or may have moved out of state without updating their contact information with AHCCCS.
Using various methods, including AHCCCS Connect, a personalized member communication tool that can text, email, and voice call members about the status of their Medicaid coverage, the agency has made more than 4.7 million targeted outreaches to make sure members are aware that annual renewals are again in effect.
Other enhancements to help members complete their renewal include: