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On Jan. 1, those 18 and under who enroll in Missouri's insurance programs for low-income people will not be removed for 12 months.
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In a letter Wednesday to Missouri Department of Social Services Director Todd Richardson, the Centers for Medicare and Medicaid Services assessed how well the state is complying with rules for disenrolling people from health insurance programs for poor and disabled people. The average person calling the social services helpline had to wait 48 minutes to talk to someone.
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June was the first month of eligibility reviews for Missouri's roughly 1.5 million Medicaid enrollees. Children accounted for half of all the state's Medicaid terminations, mostly for procedural reasons.
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During the height of the coronavirus pandemic, the federal government issued emergency protections that barred states from removing people from the government-funded health insurance program for low-income people and families. That changes this month.
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During the COVID-19 pandemic, the federal government prevented states from kicking people off MO HealthNet, Missouri's Medicaid health insurance program. That provision ends April 1, and state residents will once more need to prove their eligibility for the low-cost coverage.
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In the year after Missouri expanded Medicaid, the state struggled to sign up people for the government-funded health insurance program. Now, more than 1 million Missourians are enrolled. The federal government barred states from kicking anyone off Medicaid during the coronavirus pandemic. But when those protections expire this spring, patients will need to renew their coverage. Advocates and health officials worry that eligible people could drop off the rolls.
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Federal rules give states a maximum turnaround time of 45 days to process Medicaid applications. In April, Missouri took an average of 101 days to process a signup.
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Religious leaders in the statewide group Missouri Faith Voices are encouraging volunteers to spread the word about the state's Medicaid expansion. They say that the state has done little to publicize the program and that much of the responsibility for educating residents has fallen on them and community organizations.
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Medicaid applicants in Missouri are facing average wait times to get their applications processed of nearly four months: well over the 45 days required by the federal government.
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The lawsuit follows passage of a supplemental budget bill that bars abortion providers or their affiliates from being reimbursed through Medicaid.