MedicaidAdministrativeHigh impact
Medicaid Redeterminations Resumption: How to help your patients who are enrolled in Medicaid!
Blue Cross Blue Shield of Rhode Island·RI·Provider Update
Effective date
Apr 1, 2023
We identified it
Jun 19, 2026
Summary
Medicaid redeterminations resume April 1, 2023 after COVID-19 suspension, with states having 14 months to complete all eligibility reviews through May 31, 2024. Patients who don't complete redetermination or no longer qualify will lose Medicaid coverage and need alternative insurance, potentially affecting billing and collections.
Action Required
Immediately: Front desk staff must inform all Medicaid patients about redetermination requirements during appointments. Verify and update patient contact information in system. Billing team should prepare for potential coverage changes and increased insurance verification needs as patients may lose Medicaid coverage during the 14-month redetermination period through May 31, 2024. Monitor accounts receivable closely for Medicaid claim denials due to coverage terminations.