The annual Medicaid redetermination process can be confusing and stress-inducing, especially if you’re new to it all. But it doesn’t have to be daunting; the more information you have, the better you’ll be able to manage the process. In this article, we’ll share all you need to know about Medicaid redetermination, including the steps you must complete to avoid potentially losing your coverage.
What is Medicaid Redetermination?
Medicaid redetermination (also called Medicaid renewal) is a yearly review where Medicaid re-reviews your case to determine whether you should receive benefits for the upcoming year.
If you don’t complete your redetermination or Medicaid finds that you no longer meet the eligibility requirements after their review, your coverage will end. If you participate in the redetermination process and Medicaid determines that you are eligible, your coverage will continue.
How Medicaid Redetermination Works
To start the Medicaid redetermination process, Medicaid will notify you by mail that it’s redetermination time. The letter will contain the information and documentation Medicaid needs to make a coverage decision.
At that point, the ball is in your court. You’re expected to submit the requested information by the deadline so your case can be reviewed. After submitting your redetermination paperwork, you’ll wait for Medicaid to decide whether they’ll renew your coverage for another year or cancel it for ineligibility.
You’ll receive communication from Medicaid regardless of the decision they make.
Medicaid Redetermination Steps
Now that we’ve covered the basics of the Medicaid redetermination process, it’s time to dive a little deeper into what’s expected of you as a recipient. Here are the steps to take to ensure your redetermination goes off without a hitch:
- Make sure that Medicaid has the right contact information on file so that when redetermination time comes, they can reach you. They need a current address, phone number, email address, and cell phone number. Go to this page to find out how to update your contact information. If you’re sure that Medicaid has the correct contact information, there’s no need to update it.
- Check your mail regularly and be on the lookout for a letter from Louisiana Medicaid. The letter will contain all the information you need to complete your redetermination. You will almost always need to send documentation or information to Medicaid.
- Pay special attention to the deadline in the redetermination letter. If you miss it, you could lose your coverage. This applies even when you need the coverage and are eligible for it.
- Wait for a response from Medicaid.
Get Assistance with Redetermination
If, at any point, you have questions about the redetermination process, you can call the LA Medicaid hotline at 1-800-342-6207. A staff member there will answer your questions so you can get your information submitted.
There are also support coordinators trained to help you with the redetermination process. They can answer questions, assist in gathering necessary information, and address other issues. Taking full advantage of the available resources can help the process go as smoothly as possible.
