Renewals for Medicaid, Child Health Plus and Essential Plan

Renewals for Medicaid, Child Health Plus and Essential Plan on NYSoH

Medicaid, Child Health Plus (CHP) and Essential Plan enrollees with authorization dates ending June 30, 2023, and later must recertify for ongoing coverage through the New York State of Health/Marketplace (NYSoH).

There are new rules that allow some enrollees to renew their coverage until the end of the month following the end of their coverage without experiencing a coverage gap. For example, those with cases set to expire on June 30, 3023, can renew through July 31, 2023, and not experience a gap in coverage.  This new rule does not apply to Medicaid enrollees with coverage on NYSoH who are Medicare-eligible; they do not have this renewal enhancement and must renew their coverage in a timely manner.

Enrollees who do not renew by the date on their renewal notice may receive a disenrollment notice from NYSoH; however, it IS still possible to renew, even after receiving this notice. CHP and Essential Plan enrollees who recertify late but remain eligible for the same program and select the same plan as the previous year will have no gap in coverage.  Medicaid enrollees who recertify late but change plans will have fee-for-service Medicaid while NYSoH processes their plan change.  

Where to go for help: Individuals needing assistance renewing coverage can contact NYSoH at 855-355-5777 or a Navigator (Community Health Advocates can assist: 888-614-5400).

Renewals for Medicaid administered by LDSS/HRA

Similar to dual eligibles with Medicaid at NYSoH, the waiver in place allows for resources to not be considered in the renewal process during the unwind period.

Medicaid renewals can be submitted either to the Medicaid office, or through ACCESS HRA, for those in NYC.