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Medicaid redetermination

Since the outset of the COVID-19 pandemic, all Medicaid redeterminations were on hold. This means that Medicaid recipients didn’t have to complete the Medicaid redetermination (also called Medicaid renewal or recertification) process. Annual redetermination is required if you have Medicaid. With the COVID-19 public health emergency ending, Medicaid redeterminations are scheduled to resume.

Mom pushing son on swing

What this means for current Medicaid recipients

During Medicaid renewal, the Medicaid agency in the state where you live checks to make sure you still are eligible. In some states and situations, you may not have to do anything during the renewal process. The state may be able to confirm that you remain eligible for Medicaid.

Sometimes, the state agency may need information from you. You may be asked to complete a redetermination form (via paper, online, or in person) and may be asked to provide proof of income or resources.

If you don’t renew in time

If you are asked to complete the Medicaid renewal process and you don’t, your Medicaid benefits will cease and you will lose coverage. Under federal law, you will have 90 days from the state you lose your coverage from to provide the Medicaid agency with the requested information. If you do during the 90 days, and you remain eligible for Medicaid, your benefits will be reinstated without you going through the application process again. If you wait more than 90 days, you will have to complete the application process again.

To prepare for the renewal process

  • Update your contact information – Make sure your state has your current:
    • Mailing address
    • Phone number
    • Email
    • Other contact information
  • Check your mail – Your state will mail you information about:
    • Your coverage
    • The need to complete a renewal form to see if you/your family still qualifies for Medicaid
  • Complete your renewal form (if you get one) – Fill out the form and return it to your state right away to help avoid losing coverage/a gap in coverage.

The redetermination process is different state by state. Learn more about the process in the state where you live:






South Carolina