Medicaid Expansion Ends: Tips for Employers Impacted by Medicaid Redeterminations and Unwinding
Medicaid Expansion Ends: Tips for Employers Impacted by Medicaid Redeterminations and Unwinding
May 16, 2023
Medicaid Expansion Ends: Tips for Employers Impacted by Medicaid Redeterminations and Unwinding
- Communicate with employees: Employers should communicate with their employees about the upcoming changes and provide clear instructions on enrolling in their employer-sponsored health plan. Your health insurer or agent should be able to assist with necessary paperwork and notices. To ensure that those who remain eligible for Medicaid are enrolled, the federal government has released resources to assist states and employers. Employers can find more information here.
- Review your health plan options and ensure compliance with HIPAA regulations: Employers must comply with HIPAA regulations and provide a 60-day special enrollment period to employees who were previously covered under Medicaid. Employers must communicate the availability of the special enrollment period and the steps employees need to take to enroll in their employer-sponsored plan.
- Consider partnering with a benefits consultant: Employers may want to consider partnering with a benefits consultant to help navigate the changes related to Medicaid redetermination and the end of the public health emergency. A benefits consultant can provide guidance on compliance issues, plan design, and employee communication strategies.
The end of the pandemic-era Medicaid expansion will require employers who offer health care plans to take certain steps to ensure their employees who are eligible can enroll. Employers should be proactive in communicating with employees, familiarize themselves with available resources, and help employees navigate the enrollment process to avoid potential penalties. By taking these steps, employers can ensure that their employees have access to quality healthcare coverage.
Resources: EBSA Flyer for Employees; DOL Blog Post; FAQ Part 58 from CMS/CCIIO; CMS website with additional materials Employers with additional questions can reach out to NFIB at info@nfib.orgNFIB is a member-driven organization advocating on behalf of small and independent businesses nationwide.
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