Thousands Experience Lapses in Care as Medicaid Rules Expire

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Thousands Experience Lapses in Care as Medicaid Rules Expire
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As South Dakota and North Carolina remove participants from Medicaid, the states also plan to add people to the program.

North Carolina will begin disenrolling people who are no longer eligible for Medicaid on July 1. The state has not set a timeline for Medicaid expansion, but it’s expected to occur within the unwinding period, which lasts through May 2024.

She said South Dakota’s approach seems inefficient, since state workers will have to disenroll and reenroll some people within a short period. “It’s creating a lot of work for the state workers because they’re going to send out paperwork and requalify everybody,” she said. Although South Dakota won’t prevent people likely to requalify for Medicaid from temporarily losing coverage, it is taking steps to make sure they know to reapply.

Medicaid expansion will allow adults, with or without children, to enroll in the program if they earn up to 138% of the federal poverty level, or $20,120 for a single adult. Murray’s income as a part-time restaurant cook and dishwasher should allow him to requalify and begin receiving Medicaid coverage on July 1.

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