Healthcare

What changes should I report to Medicaid at renewal?

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Everyone who gets Medicaid (sometimes called other names depending on the state) needs to renew their Medicaid periodically to stay eligible and enrolled. This process is often called a Medicaid renewal, redetermination, or recertification.

If you don’t provide Medicaid with all the required information, including any changes from the last certification, before the renewal deadline, you may lose coverage and need to start the whole application process over from scratch.

Here's what you should know about Medicaid renewal, especially which changes you’re required to report.

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What to report at your Medicaid renewal#what-to-report-at-your-medicaid-renewal

Medicaid is state-run, so the renewal process may look different from one state to another.

Typically, your state will send a renewal form that you must fill out to confirm that your contact and eligibility information on file is still correct or report changes.

You should be prepared to report changes like:

  • Changes to your household, such as someone moving in or out, getting married, divorced, or having a baby
  • Changes in amount of income or wages
  • Starting, changing, or leaving a job
  • A new address or mailing address
  • Changes to your phone number, email address, or other contact information
  • Changes to other health insurance coverage such as that obtained through your employer or other sources
  • Changes to your immigration or citizenship status, if applicable
  • Changes to your pregnancy status
  • Changes related to a disability or long-term care services, if applicable
  • Changes to your assets or resources if your Medicaid eligibility category considers them

Your state may ask you to submit documents to verify these changes, including pay stubs, tax forms, bank statements, proof of address, or other records.

Depending on your state, you may be required to report some changes to Medicaid earlier than your next renewal. For example, all states require that you report a change in circumstance if it will affect your eligibility (like a change in your income or assets) when they happen instead of waiting for renewal.

If you aren’t sure what’s required or need help with your renewal you should contact your caseworker or local Medicaid office.

What if I miss my Medicaid renewal deadline?#what-if-i-miss-my-medicaid-renewal-deadline

If you miss your renewal deadline or forget to submit some of the required information, your Medicaid coverage may end.

If you submit the missing information within your state’s reconsideration period, your Medicaid may be reopened without having to submit a brand-new application. The length of this reconsideration period varies by state.

If too much time has passed, you'll likely need to submit a new Medicaid application.