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This year, states will be conducting the Medicaid redetermination process for the first time since March 2020. During this process, individuals on Medicaid will be reassessed by their states and will have to provide evidence that they still qualify for Medicaid.
Some states began the redetermination process in February meaning that the earliest anticipated termination dates for Medicaid recipients was in April. Please see this schedule to view the timeline for your state.
While the Medicaid Redetermination process is expected to impact millions of Medicaid members, it is estimated to impact only 3% to 7% of Cigna Healthcare customers. Our mission at Cigna Healthcare is to improve the health and vitality of those we serve through every stage of life, so we want to partner with you to help support your customers through this process.
What we're doing to help you and your customers:
Once we are notified that a state determined a customer to be no longer eligible for Medicaid, the customer will enter the 'deeming period.' During this period, customers will have six months to requalify (90 days in TN).
We have a dedicated team at Cigna Healthcare that will be reaching out to those affected customers directly.
Here are the steps we will take:
- A notice of "Loss of Special Needs Status" will be sent to the customer within 10 days of the confirmed loss.
- Three call attempts will be made by Cigna Healthcare within the last month of the 'deeming period' to obtain proof of Medicaid or inform the customer of other plan options.
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If a customer is interested in other Medicare plans from Cigna Healthcare, our team will transfer them to the Plan Change team if they are eligible. Remember, your Agent of Record (AOR) status is protected for any plan changes made by our internal team (i.e., Cigna Healthcare employee). Click here to learn more.
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If a customer is unable to confirm Medicaid eligibility and does not change plans within the allotted timeline, their disenrollment will be processed. Note: A notice of involuntary disenrollment will be sent to the customer within the three days following the deemed continued eligibility period.
- The Cigna Agent Resource Line (CARL) team will reach out to the Agent of Record via email when we have been notified of a customer's loss of Medicaid eligibility.
Log in to Producers' University to view the letters that Cigna Healthcare will send to affected customers.
Centauri Health Solutions:
Cigna Healthcare partners with Centauri Health Solutions to bring your customers no-cost specialized support for enrollment, retention, and redetermination.
In addition to Cigna Healthcare's outreach to customers, Centauri Health Solutions also proactively outreaches to our customers. They do this four times 45-60 days prior to their renewal date to obtain updates and answer questions via mailed letters and phone calls (if the customer does not respond to the letters).
If your customer needs additional assistance in requalifying for Medicaid, you can help them reach out to Centauri Health Solutions, or provide them the following contact information:
Premium Assist
(A division of Centauri Health Solutions)
877-236-4471
Monday through Friday, 9 a.m. – 7:30 p.m. EST
Additional resources for you:
If you want to learn more about the redetermination process, feel free to review the non-Cigna Healthcare resources below.
Questions?
Please reach out to your local Broker Manager with any questions.
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