We know that healthcare coverage changes can be confusing and overwhelming. That's why we want to explain the current situation about Medicaid unwinding, so you'll know what steps you need to take for continued coverage.

In the past three years, people on Medicaid didn't have to renew their coverage because of the COVID-19 Public Health Emergency. This was called the "continuous enrollment condition." But now, the government is checking if individuals still qualify for Medicaid and CHIP (Children's Health Insurance Program).

The State of Utah will contact individuals to see if they still qualify. It's important to know that some people may not meet the criteria and could lose their coverage. We understand this can be worrying, but we're here to help you through it.

If you received a renewal letter from the State of Utah, follow these steps to renew your coverage and keep accessing important healthcare services:

1. Read the renewal letter carefully: When you get the renewal letter, read it thoroughly to understand the information. It will tell you what you need to do to keep your Medicaid or CHIP coverage.

2. Fill out the renewal form: If the letter includes a form, complete it accurately and provide all the requested information. Check for mistakes before submitting it. If you have questions while filling it out, contact the provided contact information for help.

3. Submit the renewal form promptly: It's important to submit the completed form by the deadline mentioned in the renewal letter. This will ensure a smooth transition without interruptions in your healthcare benefits.

4. Additional information requests: The State of Utah might need more information to confirm your eligibility. If they ask for more documentation, respond quickly and provide what they need. This will speed up the renewal process.

5. Ask for help if needed: If you have questions or concerns about the renewal process, eligibility requirements, or required documents, reach out for assistance. Use the contact information provided in the renewal letter or contact our customer support team for guidance.

What if I've already lost my Medicaid or CHIP coverage?

1. Read the notice from the state: Take time to carefully read the notice you received from the state explaining why you lost your Medicaid or CHIP coverage. Understanding the reason for the loss of coverage will help you know what to do next.

2. Appeal the decision or reapply for Medicaid or CHIP: If you think there was a mistake in the decision or if your circumstances have changed, you can ask for the decision to be reviewed or submit a new application for Medicaid or CHIP. Follow the instructions in the notice to start the appeal process or apply again.

3. Look at other health coverage options: While you are working on getting your Medicaid or CHIP coverage back, it's important to explore other options for health coverage to make sure you can still get the healthcare you need. Consider these options:

   1. Health insurance marketplace (HealthCare.gov): Go to the health insurance marketplace website to see what plans are available. You might find a plan that costs $10 or less per month, depending on your income. These plans cover things like doctor visits, prescription drugs, and emergency care. Look at different plans and choose the one that works best for you.

   2. Medicare: If you are 65 years or older, you might be eligible for Medicare. Even if you missed signing up at first, there is a special time called the "Special Enrollment Period" when you can enroll without paying a penalty. Learn more about Medicare to see if it's the right choice for you. Click here

   3. Employer-sponsored coverage: Check with your employer to find out if they offer health insurance benefits. Employer-sponsored coverage can give you comprehensive healthcare benefits, so it's worth finding out if it's an option for you.

4. Take action based on your chosen option: Once you have looked at the alternative health coverage options, take the necessary steps to enroll in the option you selected. Follow the instructions, fill out any forms needed, and submit the required documents. Make sure to keep track of any deadlines or enrollment periods to make the transition to your new health coverage smooth.

Losing your Medicaid or CHIP coverage can be difficult, but there are other options available to help you get the healthcare you need. If you need help or have any questions, reach out to 866-608-9422.

Medicaid.utah.gov/unwinding

We are here to support you and assist you in finding the best healthcare coverage for your situation.