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PHE Unwind Steps (continued)

Although it is still finalizing its plan, North Dakota anticipates the unwinding period to take approximately 12 months over a 14-month timetable. The difference is determined by when the unwinding period begins: two months prior to the end of PHE, one month prior to the end or after the PHE ends.

South Dakota

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In February 2023, South Dakota began processing redeterminations, a function it historically has carried out every month prior to the COVID pandemic. If a recipient is found to no longer be eligible through the redetermination process, Medicaid coverage for recipients may be terminated beginning April 2023. South Dakota anticipates completing this process in 9-12 months.

All options prioritize cases for review focusing first on cases most likely to be ineligible based on those who no longer meet a coverage group, aged out of a coverage group, a coverage group time limit has expired, or income has increased.

Other States

As part of the end of the PHE, all 50 states, plus the District of Columbia, have establish Unwind Plans. Although most are fairly similar in nature, there are, obviously, subtle differences. For links and information regarding all of the plan summaries, Georgetown University’s Center for Children and Families as put together an outstanding Unwinding Tracker

Moving Forward

Brokers can support the processes by emphasizing some key messages with clients:

• Update your address, email and phone number if there have been changes in the past year. DHS has a website with more details on how to report changes: https://mn.gov/dhs/mycontactinfo/

• Open and read all mail. All official notices will come through the mail, so it is important that enrollees are paying attention and carefully read any information.

• Respond promptly to all notices. Completing and returning renewal paperwork quickly will help ensure a more timely completion of their eligibility determination.

As always, if you have questions on the unwinding steps, please reach out to us at 651.739.2010 or sales@leclairgroup.com.

Finally, Benafica is hosting a webinar on April 20, 2023 at 10:00 AM Central Time to discuss easy and profitable partnerships for small, medium and large groups that want a tax free defined contribution model for their benefits. To learn more about the webinar, Benafica created a short video, and to register, click here

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