Medicaid eligibility renewal

Medicaid eligibility renewal

Each year, Medicaid sends out notices asking members to renew their eligibility for their state’s Medicaid program. If you’ve moved or your phone number has changed, you may not have received your notice. Here’s what you need to know to get started.

Important information for our Medicare Advantage D-SNP plan members: To qualify for a D-SNP plan, members must be eligible for both Medicaid and Medicare. If you received a notice in the mail saying that you are no longer eligible for your Humana health insurance plan, we’re here to help. Call Humana at 800-783-1304 (TTY: 711) Monday – Friday, 9 a.m. – 6:30 p.m., Eastern time.

What is Medicaid eligibility renewal?

Medicaid eligibility renewal, sometimes called Medicaid redetermination or recertification, is a review to find out if you still qualify for your state’s Medicaid program. You must complete this review at least once each year.

How can I get ready for the review?

You’ll need to complete and return your paperwork to confirm that you’re still eligible for Medicaid. Your state will send you a redetermination letter with information and instructions around 30 days before your Medicaid health coverage expires.

Here are a few tips to help you get ready:

  1. Update your current contact information. Make sure your state’s Medicaid program has your current mailing address, phone number, email or other contact information. That way, they’ll be able to contact you about your Medicaid coverage.
  2. Check your mail. Your state Medicaid program will mail you a letter about your coverage. This letter will let you know if you need to complete a renewal form to check if you still qualify for benefits.
  3. Fill out your renewal form (if you received one). Complete the form and return it right away to help avoid a gap in your coverage.

What can I do if I lose my coverage?

If you learn you’re no longer eligible for your current Medicare Advantage D-SNP plan, you can choose a different Medicare Advantage plan. Call our Customer Care team at 800-783-1304 (TTY: 711), Monday – Friday, 9 a.m. – 6:30 p.m., Eastern time, or enter your ZIP code to explore other plans available in your area.


What if I miss my redetermination date?

If you don’t complete the redetermination process, your Medicaid coverage will end. It’s important to complete the redetermination process as soon as possible to avoid any gaps in your healthcare coverage. If you submitted your paperwork but were late and missed the renewal deadline, your state may give you extra time to submit your information. If approved, your Medicaid may be reinstated with no gap in coverage.

Do I have to apply for Medicaid every year?

Your state may be able to use information they already have to decide if you’re still eligible for Medicaid each year. If they need more information, they will send you a renewal letter in the mail. That’s why it’s so important to make sure your state’s Medicaid office always has your current contact information.

Does everyone with Medicaid have to go through redetermination?

Yes. All Medicaid members will go through a renewal of their eligibility for Medicaid. Only those who are eligible will continue to receive Medicaid coverage. If your state determines you’re no longer eligible for coverage, you will be removed from Medicaid.

How will I know when it’s time to renew?

Your state will contact you when necessary about your Medicaid redetermination. That’s why it’s important to make sure your state has your current mailing address, phone number, email, or other contact information. If any of this information changes throughout the year, be sure to update it with your state.

We’re here for you

If you received a notice saying you are no longer eligible for Medicaid or if you need some help understanding your paperwork for Medicaid renewal, call our Customer Care team at 800-783-1304 (TTY: 711), Monday – Friday, 9 a.m. – 6:30 p.m., Eastern time.