Navigating the Path to Successful Redetermination

by Jane Doe Smith, Data Analyst Specialist, LexisNexis

Navigating Next Steps to Successful Redetermination

  1. Home
  2. Insights and Resources
  3. White Paper
  4. Navigating the Path to Successful Redetermination

Get answers for how you can locate unreachable beneficiaries and execute a successful Medicaid Public Health Emergency (PHE) Unwinding program.

States are required to fully comply with redetermination processes, timelines, and reporting requirements outlined by the Centers for Medicare & Medicaid Services (CMS). A key CMS focus for states is the requirement to ensure up-to-date contact information is available for all Medicaid members subject to redetermination.

For state Medicaid agencies with inaccurate or incomplete Medicaid member mailing address information, identifying accurate contact information for other modalities may be a challenge. Leveraging additional data sources allows states to match existing data and identify new contact information for Medicaid members. 

But this can be time and resource intensive without support.

We know that you may hit roadblocks during the redetermination process as a result of missing or inaccurate data – and, we understand that every contact record matters. We can help you navigate those roadblocks on your path to redetermination with a CMS approved approach for successful outreach.

We offer agile approaches paired with deep subject matter expertise to work with state Medicaid agency teams throughout the implementation process. These alternative data sources enable eligibility and enrollment staff to design and implement successful unwinding processes in compliance with CMS requirements.

You have questions, we have answers. Download our white paper today to discover helpful Unwinding insights.


Access White Paper Here

Download PDF

Connect with us

Related Resources


Products You May Be Interested In