How many people are currently on Medicaid in Pennsylvania? According to the most recent data from the PA Department of Human Services, as of December 2023, there are 3,287,641 million Medicaid recipients enrolled in the program.
How many have lost coverage since the end of the Medicaid Continuous Coverage requirement ended? Over 420,000
What is the transition plan once a beneficiary is no longer eligible for Medical Assistance? Will the transition be seamless to the beneficiary?
When an individual’s Medical Assistance eligibility is terminated, they are sent a notice indicating why they were found to no longer be eligible and information on their appeal rights. If the closure is for a procedural reason, they may provide the missing information for up to 90 days after the case has closed and have their eligibility reconsidered and their case opened back to the date of closure if they are found to be eligible.
If an adult is found to no longer be eligible for Medical Assistance due to financial reasons, they may be eligible for subsidized health care coverage on Pennie. Their case information is transferred automatically to Pennie and Pennie conducts outreach to the household with information about their coverage options and the level of subsidy they are eligible for.
If a child is found to no longer be eligible for Medical Assistance due to financial reasons, they may be eligible for CHIP and will be transitioned into a CHIP category.
