2023 State Healthcare IT Connect Annual Summit

With the impending expiration of the Public Health Emergency (PHE), states have begun planning to reverse the changes made to state eligibility and enrollment systems to respond to the pandemic, including policy, programmatic, and systems changes that must be unwound.

Resuming normal operations is no small feat given the number of disaster relief efforts implemented, and key processes that states need to bring back into pre-PHE statutory and regulatory compliance. This includes processing applications and redetermining eligibility for beneficiaries enrolled as of or after March 2020, completing verification of self-attested information provided during the PHE, ensuring accurate and timely notices are sent to beneficiaries regarding changes in coverage, mitigating coverage termination impacts and burden on their most vulnerable populations by transitioning individuals between coverage programs and/or State and Federal Marketplace QHPs, and the list goes on. Flexibilities have also been implemented through waivers and other disaster relief state plan amendments and necessary technology and process improvements applied to E&E programs that many states may wish to carry forward in the post-pandemic environment.

With the expiration of the PHE, states will share the actions they have taken to prepare and begin the unwinding process. A panel of state leaders will discuss their experience and lessons learned from their unwinding planning efforts, focusing on positive outcomes achieved through the pandemic response and ways their systems and programs have changed for the better.