Introduction -

Many states are actively working to make changes to their systems to enable ex parte renewals at the individual level and implement mitigation strategies to ensure eligible Medicaid and Children’s Health Insurance Program (CHIP) enrollees retain coverage until those system changes are complete. As states take on this work, they have an opportunity to assess end-to-end renewal functionality to identify additional policy and operational changes that could increase ex parte rates and streamline renewals (and relatedly, perhaps, streamline initial eligibility determinations). A proactive approach now may help states avoid additional unforeseen systems issues and improve overall eligibility automation, streamlining, and integrity.