Medicaid pandemic policy expires, leaves millions without coverage

JACKSON, Tenn. — More than 3-million children have already lost their Medicaid coverage after a temporary pandemic-era policy expired in April of last year.

In many states, most disenrollments have been caused by issues like delayed paperwork, difficulty navigating notices, and understanding policies, not because of eligibility.

Lapses in health-care coverage can lead to postponing appointments, skipping necessary care, and high out-of-pocket expenses.

Dr. Avila Edwards shares tips for those in this situation.

“There’s three things I want to mention. First, contact your Medicaid agency because they can clarify eligibility and guide you through a renewal process. Second, seek assistance from patient advocates or community health centers. These are organizations that provide free or low cost support in navigating healthcare systems. And finally, and most importantly, please be proactive,” said Dr. Kimberly Avila Edwards, Pediatrician and Fellow of the American Academy of Pediatrics.

Dr. Edwards says if you receive a notice of disenrollment, act quickly and respond within the time frame provided.

Even if you disagree with the decision, responding allows you to maintain your appeal rights and potentially avoid a coverage gap.

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