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MEDICAID UNWINDING�FROM THE PUBLIC HEALTH�EMERGENCY (PHE)

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Medicaid “Unwinding”

  • Public Health Emergency (PHE) started in March 2020, due to COVID pandemic.
  • While the PHE is in effect, no one should lose Medicaid.
  • “Medicaid Unwinding:” When PHE ends, Medicaid will mail redetermination paperwork to everyone who has NJ Medicaid.
    • Medicaid Unwinding should not apply to people with SSI & Medicaid.
  • If receiving NJ Medicaid, must respond promptly to Medicaid redetermination paperwork. Failure to respond can result in Medicaid termination!!
  • When PHE is scheduled to end, I will announce to my listserv. To sign up: www.mainstreamingmedicalcare.org

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Medicaid “Unwinding” (cont.)

What you can do prior to the end of PHE:

    • Don’t exceed Medicaid’s maximum allowable resources (usually $2,000). This maximum also applies if receiving SSI.
    • Exception: If received a back-payment from Social Security – 9 months to spend-down.
    • Consider ABLE account, if appropriate.
    • Be sure Medicaid has current mailing address. Call 1-800-701-0710, if need to confirm.
    • If notified by Social Security that loved one’s current SSI and Medicaid will end, don’t delay in submitting necessary paperwork to Medicaid!

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Current Status of the�Public Health Emergency (PHE)

  • The PHE was recently renewed by the US Department of Health & Human Services. 
  • Medicaid members will continue to remain enrolled as they have since March 2020.
  • The next possible date for the PHE to end would be in April, 2023.  The federal government has promised at least 60 days’ advance notice, so we should know in mid-February whether or not the PHE will end in April or be extended again.