Alaska pauses some Medicaid renewals after thousands lose coverage they may still qualify for [Anchorage Daily News, Alaska]
Oct. 1—The Alaska Division of Public Assistance has temporarily paused a practice of dropping people from Medicaid for paperwork-related reasons after thousands of low-income Alaskans — including families with kids — lost health coverage that they may still be eligible for.
At the same time, some health care providers say they're seeing more uninsured patients, and a possible increase in the number of patients who appear to be delaying important health care due to a recent loss in coverage.
Earlier this summer, the state resumed annual eligibility reviews, which had been paused during the COVID-19 pandemic. Since then, only a third of Alaskans on Medicaid whose eligibility has been checked so far have been found eligible and renewed in the program, according to state data.
Over the last two months, close to 40% of people previously on Medicaid who were up for review — nearly 14,000 people — were dropped from the program for procedural reasons, which often means that a family didn't receive or respond to mail from the
That can often happen because the state doesn't have an updated address on file for a family, or a letter from the division gets mistaken for junk mail. But the state doesn't know exactly why so many people were getting dropped for this reason, said
"We were seeing a lot of kids being disenrolled," said Etheridge. "So we paused procedural disenrollments for (October) benefits so that we can do a review of all individuals who haven't sent their information back to see if we can make an eligibility determination, and if we can get to the bottom of why this is happening."
[As Alaska works through post-pandemic Medicaid renewals, only about a third of people stay covered]
Etheridge said that in order to decrease the number of people who are dropped for procedural reasons, families will have at least an extra 30 days to respond to requests for income verification and other information, and the state will do its best to verify eligibility even without that paperwork.
She said that as part of that review, applications are being reopened in an effort to increase the number of people who can keep their health coverage. The state is also working on setting up a system to send text messages to people who are missing information.
"It's definitely a learning curve. But our staff are out there doing the best they can with the tools they have," Etheridge said.
She also noted that Alaskans who think they're eligible for Medicaid but are dropped anyway have the right to a fair hearing, which is a review of a decision made by the state. Fair hearing requests can be made in person, by phone or in writing to any employee of the
Before eligibility reviews resumed, approximately one in three Alaskans were enrolled in the state's Medicaid programs, which are sometimes referred to as DenaliCare and Denali KidCare, and thousands more could lose their coverage in the coming months.
Under a provision in the federal health emergency that began in
Medicaid recipients include eligible low-income adults, children, pregnant women, older adults and people with disabilities. States administer the program, which is funded jointly by states and the federal government.
At the
"We're definitely seeing an increase of patients with questions, looking for help with health insurance, and our health insurance team is getting like, booked out farther in the future than it normally does," she said.
Aquino said she's also hearing from patients who are forced to wait hours on hold with the state's Medicaid helpline, which she said has become backed up in recent months.
Her clinic has a sliding-scale fee for Alaskans who are uninsured or underinsured, which can reduce the cost of care significantly. But Aquino thinks many patients who've lost their Medicaid coverage in recent months may not know about the sliding-scale fee, and may be avoiding seeking care instead.
"We are seeing a reduction in patients on Medicaid, but we haven't seen that increase in the people on the sliding scale, which makes me think that perhaps some of those people are just avoiding medical care at this point," she said.
[Key federal status restored for
Resources
—To check on the status of an application or ask an eligibility technician with the state any other questions, the Virtual Call Center number is 1-800-478-7778. Wait times have been long due to the backlog, but callers have the option to leave their number for a same-day callback.
—To update your contact information with the state, you can visit its online form or call the Medicaid Information Update Hotline, 1-833-441-1870, which is staffed by a team dedicated to process contact information changes and was established to reduce wait times through the virtual call center.
—For a free appointment with a health care navigator who can help you determine if you're still eligible for Medicaid — and what your options are if you're not — dial 211, or 800-478-2221, or visit the
—To check your eligibility for Medicaid, visit the state's online eligibility screening tool at aries.alaska.gov/screener.
—Alaskans who think they're eligible for Medicaid but are dropped anyway have the right to a fair hearing, which is a review of a decision made by the state. Fair hearing requests can be made in person, by phone or in writing to any employee of the
___
(c)2023 the Alaska Dispatch News (Anchorage, Alaska)
Visit the Alaska Dispatch News (Anchorage, Alaska) at www.adn.com
Distributed by Tribune Content Agency, LLC.
The home and auto insurance crisis and how to keep your coverage
Donald Trump says he will be in courtroom for New York trial scrutinizing his business practices
Advisor News
Annuity News
Health/Employee Benefits News
Life Insurance News