HPIO brief detailed Medicaid unwinding process in Ohio

The Health Policy Institute of Ohio has released a new Ohio Medicaid Basics update titled “Unwinding of the Medicaid Continuous Enrollment Provision.”
 
Earlier this year, states that accepted additional federal Medicaid funding during the pandemic began unwinding the requirement that all Medicaid enrollees receive continuous coverage until the end of the COVID-19 public health emergency. The brief details the Ohio process and provides analysis of how unwinding has impacted Medicaid enrollment.
 
As of October 2023, 74% of enrollees with completed renewals are still eligible for Medicaid and have retained their coverage, while 19% were disenrolled for procedural reasons (e.g., the renewal process was not completed) and 7% were found ineligible for Medicaid, as illustrated above. The Ohio Department of Medicaid found that, in July 2023, more than half (53%) of the enrollees who were disenrolled for procedural reasons were identified as likely ineligible for Medicaid coverage, according to analysis from third-party vendor Public Consulting Group.
 
Ohio Medicaid enrollment increased gradually from the start of the COVID-19 pandemic to March 2023 but decreased by 259,670 enrollees from March to October 2023, including 73,225 children and 186,445 adults.
 
In Ohio, the process of reviewing enrollee eligibility and returning to the standard eligibility determination process is expected to conclude in March 2024.
 
For more information about Ohio Medicaid, including enrollment and spending during the pandemic, see Ohio Medicaid Basics 2023.