New Jersey Medicaid Renewal Process Underway; Over 333,000 Members Contacted So far

NJ FamilyCare, the state’s health insurance program, have contacted 333,459 Medicaid members as they begin the process of determining which members are still eligible to receive health insurance following a years-long pause due to the pandemic.

Of those 333,000 members, 48,029 were automatically re-enrolled due to their participation in other income-limited benefit programs, which allows them to automatically be enrolled in Medicaid, according to newly released data from the state Department of Human Services.

It’s not clear if any of the remaining 285,430 members had their insurance plans terminated yet.

According to DHS estimates, nearly 280,000 of the nearly 2.28 million members in total, are expected to lose coverage due to ineligibility over the next 12 months.

The federal government in March 2020 temporarily waived Medicaid and Children’s Health Insurance Program (CHIP) requirements to help prevent people from losing health coverage during the pandemic.

State-run Medicaid programs were required by federal law to restart eligibility reviews by April 1 under the federal FY 2023 Omnibus spending bill passed by Congress and signed by President Biden in late December.

Last week, DHS announced an automatic 30-day eligibility extension to all members who did not respond to renewal requests.

“In anticipation of this work, NJ FamilyCare has improved systems, expanded automated renewal, and deployed new outreach strategies to raise awareness,” DHS said in a letter last week.

“Like many other states, though, we are finding that too high a percentage of members in early renewal groups have not yet responded in any way to their renewal package, indicating that they may not have seen or understood the mail that was sent to them. Due to these national trends, (federal officials are) allowing states the option of delaying disenrollment under certain conditions.”

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