What is the unwinding?
During the COVID Public Health Emergency (PHE), Medicaid members could keep their coverage, even if their income or other qualifying circumstances changed. Because the PHE has ended, state Medicaid programs have returned to reviewing member eligibility and begun the process of unwinding.
Does the unwinding affect people with both Medicare and Medicaid at the same time? What about those with disabilities?
Yes, the unwinding will impact those who are covered by both Medicare and Medicaid, as well as those who have one or more disabilities. If you have specific questions about your case, please contact a HealthLinc navigator or call the Family and Social Services Administration (FSSA) at 1-800-403-0864.
Do I need to do anything if I still qualify for Medicaid?
Even if you are, or believe that you are, still eligible for Medicaid coverage, you should make sure that the FSSA has your current information, especially your contact information.
Making sure that this information, including mailing address, phone number and email address, is correct is important because the FSSA will need a way to contact you about eligibility. You will receive a letter from the FSSA with information about your Medicaid coverage, including renewal forms. If you receive this form, fill it out and mail it back as soon as possible so you do not lose your coverage.
What if I don’t get a letter?
There are a few reasons you have not gotten your letter from the FSSA, including that your letter has not yet been mailed or that your contact information has not been updated. You can call the FSSA to find out if your redetermination letter has been sent, as well as ask about updating your mailing address.
What if I don’t qualify for Medicaid anymore?
If you are no longer eligible for Medicaid, you may be able to get coverage through the Marketplace. If you need help, a HealthLinc navigator can assist you in exploring your options and understanding the benefits of each plan. You can schedule an appointment with a navigator by calling 1-888-580-1060 Ext. 4405 or emailing firstname.lastname@example.org.
What happens if I lose coverage and need to see a dentist or eye doctor?
There are several Marketplace plans that offer coverage for dental and optometry services. If you are moved to a lower level of Medicaid or cannot find a Marketplace plan that provides the coverage you need, you may be eligible for HealthLinc’s sliding fee scale.
Who can I call if I have questions?