Delaware News


Delaware Medicaid Eligibility Annual Renewals to Resume April 1 

Delaware Health and Social Services | Division of Medicaid and Medical Assistance | News | Date Posted: Wednesday, March 1, 2023


Graphic stating that Delaware Medicaid Eligibility Renewals will restart April 1. Includes link to de.gov/medicaidrenewals

Congress sets April 1, 2023, as Medicaid renewal start date; Members should verify contact information with DHSS 

The Delaware Department of Health and Social Services (DHSS) will resume the standard eligibility renewal process for Medicaid and CHIP recipients starting April 1, 2023, as required by federal law. Annual renewals have not been required since March 2020 during the federal Public Health Emergency designation. Federal legislation, signed into law on December 29, 2022, set a specific date to resume renewals, regardless of when the Public Health Emergency ends.  

As of January 2023, approximately 310,000 Delawareans were enrolled in Medicaid. Once annual renewals begin, there will be Delawareans who were receiving continuous coverage due to the Public Health Emergency that will no longer be eligible for Medicaid. DHSS estimates 40,000 to 50,000 Delaware residents may no longer qualify for Medicaid or CHIP, also known as the Delaware Healthy Children Program, and may be disenrolled.  

“Over the past three years, the state’s public assistance programs have been a crucial safety net for so many Delawareans,” said Molly Magarik, Secretary of the Delaware Department of Health and Social Services (DHSS). “As we prepare for the monumental task of restarting eligibility renewals again, our goal is to ensure Medicaid members who continue to be eligible stay enrolled and that those who are determined to no longer be eligible get connected to affordable coverage.”  

The most important thing Medicaid and CHIP members can do right now is to update their mailing address, email and phone numbers with DMMA and sign up for electronic notifications. Contact the Change Report Center at (302) 571-4900, Option 2 or send changes via fax to (302) 571-4901. Changes and notification preferences can also be made at ASSIST Self Service, https://assist.dhss.delaware.gov/

“There are many Delaware residents who qualified for Medicaid coverage for the first time during the Public Health Emergency who have never had to complete an annual renewal before,” said Steven Costantino, Director of Health Care Reform for DHSS. “This is why it is critical that we have the most accurate information available for each member, and that individuals on Medicaid watch out for communication to avoid a potential disruption in coverage.”   

Between April 2023 and April 2024, DHSS will review every member’s eligibility and, where approved by state or federal rules, use available data sources to automatically renew members. If DHSS cannot auto-renew a person’s coverage using available and approved data sources, the member will receive a renewal packet by mail or a notification by email, depending on the selected preference.  

Delaware Medicaid and its Managed Care Organization partners will also use texts, email, and social media when available to enhance outreach efforts. A member will be able to complete the renewal packet through a variety of ways: Online, by phone, by mail, by fax, or at any Division of Social Services (DSS) office located within the Delaware State Service Centers. 

Health care providers and others who provide services to members can help by reminding their Medicaid members to look for and complete their Medicaid renewals this year and to encourage them to start exploring other coverage options if they believe they will no longer qualify for their current coverage. 

To help individuals who are no longer eligible for Medicaid coverage, the federal government has authorized a Special Enrollment Period for the Health Insurance Marketplace. Individuals who lose their coverage through Medicaid and CHIP any time between March 31, 2023, and July 31, 2024, will be eligible for a marketplace special enrollment period. After a person is determined eligible for the marketplace, they will have 60 days to choose a plan, and their coverage will start the first day of the month after the plan is selected.  

Many enrollees can find plans on the Health Insurance Marketplace that cost less than $10 a month. Plans cover services like prescription drugs, doctor visits, urgent care, hospital visits, and more. 

Assistance enrolling in the Delaware Health Insurance Marketplace is available from certified Health Insurance Marketplace Navigator teams at Westside Family Healthcare and Quality Insights. To be connected to a trained Navigator, call:  

  • Westside Family Healthcare: New Castle County: 302-472-8655, Kent or Sussex counties: 302-678-2205 
  • Quality Insights: 1-844-238-1189 

For more information, visit de.gov/medicaidrenewals

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Delaware Health and Social Services is committed to improving the quality of the lives of Delaware’s citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations.

 

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Delaware Medicaid Eligibility Annual Renewals to Resume April 1 

Delaware Health and Social Services | Division of Medicaid and Medical Assistance | News | Date Posted: Wednesday, March 1, 2023


Graphic stating that Delaware Medicaid Eligibility Renewals will restart April 1. Includes link to de.gov/medicaidrenewals

Congress sets April 1, 2023, as Medicaid renewal start date; Members should verify contact information with DHSS 

The Delaware Department of Health and Social Services (DHSS) will resume the standard eligibility renewal process for Medicaid and CHIP recipients starting April 1, 2023, as required by federal law. Annual renewals have not been required since March 2020 during the federal Public Health Emergency designation. Federal legislation, signed into law on December 29, 2022, set a specific date to resume renewals, regardless of when the Public Health Emergency ends.  

As of January 2023, approximately 310,000 Delawareans were enrolled in Medicaid. Once annual renewals begin, there will be Delawareans who were receiving continuous coverage due to the Public Health Emergency that will no longer be eligible for Medicaid. DHSS estimates 40,000 to 50,000 Delaware residents may no longer qualify for Medicaid or CHIP, also known as the Delaware Healthy Children Program, and may be disenrolled.  

“Over the past three years, the state’s public assistance programs have been a crucial safety net for so many Delawareans,” said Molly Magarik, Secretary of the Delaware Department of Health and Social Services (DHSS). “As we prepare for the monumental task of restarting eligibility renewals again, our goal is to ensure Medicaid members who continue to be eligible stay enrolled and that those who are determined to no longer be eligible get connected to affordable coverage.”  

The most important thing Medicaid and CHIP members can do right now is to update their mailing address, email and phone numbers with DMMA and sign up for electronic notifications. Contact the Change Report Center at (302) 571-4900, Option 2 or send changes via fax to (302) 571-4901. Changes and notification preferences can also be made at ASSIST Self Service, https://assist.dhss.delaware.gov/

“There are many Delaware residents who qualified for Medicaid coverage for the first time during the Public Health Emergency who have never had to complete an annual renewal before,” said Steven Costantino, Director of Health Care Reform for DHSS. “This is why it is critical that we have the most accurate information available for each member, and that individuals on Medicaid watch out for communication to avoid a potential disruption in coverage.”   

Between April 2023 and April 2024, DHSS will review every member’s eligibility and, where approved by state or federal rules, use available data sources to automatically renew members. If DHSS cannot auto-renew a person’s coverage using available and approved data sources, the member will receive a renewal packet by mail or a notification by email, depending on the selected preference.  

Delaware Medicaid and its Managed Care Organization partners will also use texts, email, and social media when available to enhance outreach efforts. A member will be able to complete the renewal packet through a variety of ways: Online, by phone, by mail, by fax, or at any Division of Social Services (DSS) office located within the Delaware State Service Centers. 

Health care providers and others who provide services to members can help by reminding their Medicaid members to look for and complete their Medicaid renewals this year and to encourage them to start exploring other coverage options if they believe they will no longer qualify for their current coverage. 

To help individuals who are no longer eligible for Medicaid coverage, the federal government has authorized a Special Enrollment Period for the Health Insurance Marketplace. Individuals who lose their coverage through Medicaid and CHIP any time between March 31, 2023, and July 31, 2024, will be eligible for a marketplace special enrollment period. After a person is determined eligible for the marketplace, they will have 60 days to choose a plan, and their coverage will start the first day of the month after the plan is selected.  

Many enrollees can find plans on the Health Insurance Marketplace that cost less than $10 a month. Plans cover services like prescription drugs, doctor visits, urgent care, hospital visits, and more. 

Assistance enrolling in the Delaware Health Insurance Marketplace is available from certified Health Insurance Marketplace Navigator teams at Westside Family Healthcare and Quality Insights. To be connected to a trained Navigator, call:  

  • Westside Family Healthcare: New Castle County: 302-472-8655, Kent or Sussex counties: 302-678-2205 
  • Quality Insights: 1-844-238-1189 

For more information, visit de.gov/medicaidrenewals

-30-

Delaware Health and Social Services is committed to improving the quality of the lives of Delaware’s citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations.

 

image_printPrint

Related Topics:  , , , , , , ,


Graphic that represents delaware news on a mobile phone

Keep up to date by receiving a daily digest email, around noon, of current news release posts from state agencies on news.delaware.gov.

Here you can subscribe to future news updates.