In 2020, Congress enacted the Families First Coronavirus Response Act (FFCRA). The FFCRA offered states additional federal funding in exchange for a requirement to keep Medicaid program beneficiaries continuously enrolled until the end of the COVID-19 Public Health Emergency (PHE).
The FFCRA eliminated the typical enrollment churn of beneficiaries. Some examples of this include individuals who moved outside the paying state or whose income growth or household composition changes eliminated their continued eligibility to receive taxpayer-provided benefits.
Frozen rosters impact eligible beneficiaries to obtain quality services. States should have a well-planned solution for quarterly verification of continued eligibility and a managed offramp to minimize the impact of restarting the legislatively required program integrity operations. Contact us today to see how Enformion can help.