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Centers for Medicare & Medicaid Services (CMS) has provided guidance that State Medicaid agencies resume redetermination activities between February 1 and April 1, 2023.

It is imperative that we help our Medicaid members renew their Medicaid benefits so they don’t lose their health coverage and continue to receive uninterrupted care.

Below is a list of frequently asked questions and other valuable resources to help educate your patients on the importance of updating their contact information and annually renewing their Medicaid coverage. 

Q: When will the normal Medicaid enrollment and renewal process resume?

A: State Medicaid agencies resumed redetermination activities between February 1 and April 1, 2023. Florida won’t take any adverse action to cancel or reduce coverage for individuals without completing a full benefit renewal. Non-response will lead to losing benefits.     

Q: What can individuals do now to prepare?

A: First and foremost, all Medicaid recipients should make sure their contact information, including their mailing address and phone number(s) are up to date with their state to ensure they receive important notices about the renewal process.

Learn how our members can update their contact information or to learn more about the renewal process at MolinaHealthcare.com/updatemyinfo/FL.

Ask our members, your patients, to make sure they keep an eye out for information and notices about their coverage and respond quickly to any instructions they receive. 

Q: What happens if an individual is no longer eligible for Medicaid and loses coverage?

A: If an individual no longer qualifies for Medicaid coverage through Florida Medicaid, they will get:

• A notice in the mail with the date their Medicaid coverage will end
• Information on how to file an appeal, if they think the decision to cancel their coverage was incorrect
• Note if an individual loses coverage for being non-responsive they will have 90 days from the end of their coverage to complete the redetermination process.

Q: What are some other choices for health coverage if an individual no longer qualifies for Medicaid?

A: Individuals should contact their state Medicaid agency to see what other options are available.

To learn more about our Marketplace health plans, please visit MolinaMarketplace.com or call (844) 802-7472.

Q: How can I get more information about the restart of the redetermination process?

A: Please contact your provider services representative at MFLProviderServicesManagement@molinahealthcare.com if you have any questions or would like more information.

Medicaid members can visit: MolinaHealthcare.com/KeepMyHealthPlan or call us at (866) 472-4585 (TTY: 711). 

Q: How can I know when my Molina Medicaid patients are up for renewal?

A:If a Molina patient is up for renewal and they need to take action, an alert will show on the Eligibility & Benefits section in Availity.  

Steps to view if member has an alert:

• Log in to Availity
• Choose to do an Eligibility and Benefits Inquiry
• Enter member’s information and click submit
  • Enter in either Molina Member ID or ProviderOne ID along with Date of Birth and select state of residence
  • If you do not have the Member ID then you will need to enter First Name, Last Name, Date of Birth and select the state of residence.
• If the member has a renewal date coming within 60 days and needs to take action, a message will display with their renewal date
• If the member does not have a renewal date coming within 60 days and/or does not need to take action, a message will not appear

Q: How can I get more information about the restart of the redetermination process?

A: Please contact your provider services representative at MFLProviderServicesManagement@molinahealthcare.com if you have any questions or would like more information.

Medicaid members can visit MolinaHealthcare.com/KeepMyHealthPlan or call us at (866) 472-4585 (TTY: 711).