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Capitol Correspondence - 04.05.22

CMS Releases New Tools for PHE Unwinding

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On Monday, the Centers for Medicare and Medicaid Services (CMS) released two new tools for states to utilize as they prepare to return to normal eligibility and enrollment operations after the COVID-19 public health emergency (PHE) ends.

The first tool provides states with guidance for processing Medicaid fair hearings as states resume normal eligibility and enrollment operations. The tool will assist states in assessing their fair hearing process and capacity, developing strategies to address anticipated fair hearing volume, and requesting authority from CMS to implement mitigation strategies.

The second tool provides states with information about outreach, enrollee communications, renewals, updating beneficiary contact information, and addressing workforce issues as they prepare to return to normal eligibility and enrollment operations once the PHE has ended.

CMS will continue to issue additional guidance and has a list of resources, tools, and information available on its “Unwinding and Returning to Regular Operations after COVID-19” webpage.