The Centers for Medicare and Medicaid Services (CMS) released a State Medicaid Director Letter on August 30, 2023, instructing states to determine whether they are following federal Medicaid regulations that require all renewals be conducted at the individual level. This is a result of the growing concerns surrounding “family-level” automatic renewals/disenrollments that are causing children to lose insurance coverage at alarming rates. CMS instructed state Medicaid agencies to determine if their systems have a “family-level” renewal error and to take steps to mitigate its impact.
