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If you’re currently covered under Medicaid, take these three steps to prepare for your Medicaid renewal process to help avoid possible gaps in coverage.
What is Medicaid redetermination?
Annual eligibility confirmation
Every state goes through an annual process called Medicaid redetermination (also referred to as Medicaid renewal) to confirm that Medicaid members still qualify for coverage. It is based on age, income, disability status and household size. The actual process and timeline varies by state.
New for 2027
Starting in 2027, adults covered under Medicaid expansion (an optional provision of the Affordable Care Act) will have eligibility redetermined every six months.
If you are on Medicaid, your state Medicaid office will contact you as part of the Medicaid redetermination process.
If you do not respond to a renewal notice, your coverage will be terminated.
3 steps to take if you are currently a Medicaid member
- Update your address and contact information.
Your state Medicaid office needs to reach you. You can contact them to make sure your address, phone number and email address are up to date in their records.
- Check your mail regularly.
Read any letters, notices or forms you receive in the mail from your official state Medicaid office about your Medicaid coverage.
- Reply promptly.
A state may be able to renew automatically because it has enough information on file to determine if a Medicaid member is still eligible.
If your state is unable to automatically renew your coverage, you’ll need to provide information so the state can determine your eligibility. If required, complete your renewal form and return it as soon as possible or reply to any requests for information.
If you have questions about your state’s process and timeline, or to verify what you have received is an official request, contact your state Medicaid office.
What happens next?
Your state will review your information and let you know if you’re still eligible for Medicaid.
- If you’re eligible for Medicaid: Your state will work with you to renew your Medicaid coverage.
- If you’re no longer eligible for Medicaid:
- Your state will inform you that your Medicaid coverage is ending on a certain date.
- You may be able to appeal the decision.
- You’ll need to find other healthcare coverage.
- If you are employed and don’t qualify for Medicaid and need healthcare coverage: Check with your employer about coverage available through your work.
- If you are not employed and don’t qualify for Medicaid and need healthcare coverage:
- You can buy your own healthcare plan.
- Learn about your options at healthcare.gov or 1-800-318-2596.
Need more information?
Contact your state Medicaid office or visit Medicaid.gov.
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