Steps to Keep Coverage Renew Medicaid Eligible kids — particularly Black and Latino children — are at risk of losing coverage during the process even though they remain eligible for Medicaid. This is due to administrative hurdles they must overcome to maintain their coverage. Texans who are immigrants and their families may be at greater risk of coverage loss because of language barriers and immigration concerns. HHSC will use 2023 FPL amounts to recheck Medicaid Eligibility. They’ll also check data they already have access to before sending requests for information to families. When you renew, people not seeking coverage do not have to provide immigration status or SSN. Immigration information collected during a renewal is never shared with immigration officials. Families should know enrolling and re-enrolling in Medicaid does not harm a family members’ chances of becoming a U.S. Citizen or put you at risk of deportation. Check out our webinar on best practices for renewals during the recent Texas State of Enrollment Conference. Transition to CHIP The transitions for families that no longer qualify for Medicaid but may qualify for CHIP haven’t happened in 3 years. During the Medicaid renewal process, HHSC evaluates eligibility for other HHSC health care programs, including the Children’s Health Insurance Program (CHIP). No extra application is needed. CHIP does require people to select a plan and there is a sliding scale of fees based on income. Transition to HealthCare.Gov The Marketplace will continue to use 2022 FPL amounts until the next open enrollment period. If people are found to no longer be eligible for Medicaid, their information will get sent to HealthCare.Gov but families can go ahead and apply for HealthCare.Gov before they get the notice their case has been transferred. New Unwinding HealthCare.Gov Special Enrollment Period From March 31, 2023, through July 31, 2024, HealthCare.Gov will be providing additional flexibility for Marketplace-eligible consumers losing Medicaid or CHIP to enroll in Marketplace coverage following the end of the Medicaid continuous coverage period. You can also use this new SEP 60 days before losing coverage. They can enroll in HealthCare.Gov through a new Special Enrollment Period (SEP), referred to as the “Unwinding SEP.” Read more here. Transition to Job-Based Insurance There’s a special enrollment period to enroll in job-based insurance within 60 days of losing Medicaid or CHIP. The new family glitch fix made changes to the affordability test and more spouses and dependents may now be eligible for Advanced Premium Tax Credits (APTC). Resources: Updated Marketplace Employer Coverage Tool helps clients gather needed info from HR compare options. BTB Family Glitch Fix FAQ helps determine whether job-based coverage is affordable for each family member and compares options for consumers. Options for People With No Coverage Path Healthy Texas Women provides limited care, well woman exams, contraception, and cancer screenings. Some Marketplace-eligible women losing Medicaid will be enrolled into HTW (generally Citizens with incomes from 100- 204% FPL), if they submit all renewal information requested by HHSC. The Marketplace has much more comprehensive coverage. Eligible women should apply to the Marketplace and, once covered, report that change to HTW, so they can be disenrolled. Citizens under 100% of FPL will fall under the Coverage Gap. Lawful immigrants below 100% are Marketplace-eligible. Women in the Coverage Gap may be eligible for Healthy Texas Women. Federally Qualified Health Centers provide safety net services for the insured, underinsured, and uninsured. Find a health center near you. | 
