Five months into the unwinding of the federal Medicaid continuous coverage requirement, states continue to work through an unprecedented volume of eligibility and enrollment actions, while also contending with growing workforce constraints. Medicaid and Children’s Health Insurance Program (CHIP) enrollees, for the first time since March 2020, are being asked to act to maintain health coverage (e.g., updating contact information, filling out a renewal form/responding to requests for information if unable to be renewed on an ex parte basis). Almost half of Medicaid enrollees report that it is their first time ever going through the renewal process; and, even individuals familiar with the process may find renewal forms and other notices confusing. Medicaid, CHIP, Marketplace and integrated human services call centers are experiencing a surge in the number of callers seeking information about their health coverage (e.g., how to reset passwords for online accounts, case status inquiries, requests to re-enroll after termination).