how-ex-parte-renewals-streamline-medicaid-redeterminations

One year ago, the Medicaid continuous enrollment provision ended on March 31, 2023, otherwise known as Public Health Emergency (PHE) Unwinding. 

State and federal leaders across the country have returned to conducting Medicaid eligibility renewals, charged with ensuring an accurate process that maintains enrollment for those who remain eligible while accurately disenrolling individuals who no longer meet eligibility requirements. As states reinstate Medicaid redetermination processes, improving automated – or ex parte – renewal processes are a key opportunity for state Medicaid programs as they make critical enrollment decisions. Not only do ex parte processes reduce friction for applicants, but they also reduce administrative burden, maximizing precious Medicaid staff and system resources. 

Leveraging lessons learned from this current period of unwinding can help agencies create a more effective and successful process for future redeterminations for years to come. The foundation to improve ex parte relies on accurate and up-to-date data. Gaps continue to exist that further contribute to low ex parte renewal rates. There are solutions available to assist agencies with crucial unwinding decisions and make ex parte renewal processes easier. LexisNexis® Risk Solutions continuously updates data ensuring agencies have accurate and real-world context to inform crucial unwinding decisions.

Download our white paper to learn more about how LexisNexis® Risk Solutions can support state programs with ex parte renewals.