Medicaid renewal and redetermination began on April 1, 2023. To avoid losing your coverage, it’s important to understand how Medicaid renewal works and to re-enroll as soon as possible.
In 2020, the federal government declared the COVID-19 pandemic a public health emergency. This allowed people to keep their Medicaid benefits without going through the normal renewal process. The government has extended the public health emergency many times since 2020. As a result, Medicaid renewals were waived.
Congress recently passed a law that says states must start the Medicaid renewal process again in 2023.
If you or your family get Medicaid benefits, you need to renew your coverage every year going forward. If you are not sure how to get started, keep reading for general tips to get ready for Medicaid renewal.
Medicaid Eligibility for 2023
The income amount for Medicaid eligibility was raised from 100% of the Federal Poverty Level (FPL) to 138% of the FPL. New York State includes the following as sources of income:
- Social security
- Retirement account distributions
- Pension
- Income payable from a trust
- Rental income
Conversely, some sources of income will be excluded: Veterans’ benefits, Workmen’s comp, and gifts or inheritances.
Exact income limits for Medicaid eligibility for individuals and couples for 2023 are $1,677/month for individuals and $2,268/month for couples.
Tips for Medicaid Recertification
If you are eligible for Medicaid benefits, here are some ways you can prepare for recertification:
- Keep your contact information up-to-date. Make sure your state has your current mailing address, phone number, email, or other contact information. This way, they’ll be able to contact you about your Medicaid coverage.
- Check your mail regularly. Your state will mail you a letter about your coverage. This letter will let you know if you need to complete a renewal form to see if you still qualify for Medicaid or CHIP.
- Complete your renewal form. Fill out the form and return it to your state right away to help avoid a gap in your coverage.
- Keep important documents organized. Your state will tell you what information they need from you. They might ask for:
- Proof of citizenship for any new members of your household
- The most recent pay stubs for anyone who works
- Proof of any income you receive other than by working
- If you stopped working, proof that your job ended
If you are unsure about your eligibility status, you can contact your state Medicaid office by clicking here.
What Does Your Medicaid Give You Access To?
The NYS Medicaid program allows chronically ill or consumers with disabilities who need help with everyday activities to hire their own home care assistants. Consumers can choose their own caregiver, who may or may not be family members or friends.
This is known as the Consumer Directed Personal Assistance Program, or CDPAP. If you would like access to this program, Trusted Choice Homecare can help you navigate the assessments, forms and other steps you must take. Trusted Choice has been a Fiscal Intermediary for the New York State CDPA since November 2016. We can help, even if you aren’t signed up with Medicaid yet.
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