Medicaid Redetermination FAQs

Medicaid redetermination is how states make sure Medicaid members are still eligible for coverage.

Missouri

STL, Jefferson, Washington, Lincoln

Virtual/phone only - 833.337.1047

In-person/local rep: Comprehensive Benefits - 636.333.9813

Missouri

Springfield, Joplin

Virtual/phone - 833.337.1047 | 417.869.6464

In-person/local rep: Osborn & Associates - 417.869.6464

Arkansas

Fort Smith, Northwest Arkansas

Virtual/phone - 833.339.3859

Oklahoma

Oklahoma City, Ada, Ardmore

Virtual/phone only - 833.337.0831 | 405.842.0494

In-person/local rep: MCM Insurance/Navigating Medicare - 405.842.0494

Illinois

Virtual/phone - 833.338.1903

In-person/local rep: Comprehensive Benefits - 636.333.9813

Kansas

TBD

Check out health insurance options on the federal marketplace or call 833.337.1047. In-person consultations are also available. Call to schedule.

An annual renewal is how states confirm that Medicaid members still qualify for coverage. During the renewal process, the state reviews available information and may ask you to complete a renewal form or provide additional documentation to verify your eligibility. Annual renewals will continue through December 31, 2026. Beginning January 1, 2027, renewals will occur twice per year. Please see the New Process section below for details.

Usually, you’ll complete your annual renewal around the time of year your coverage began. For example, if you were approved for Medicaid in June, your annual renewal will take place in June.

When it’s time to renew, your state Medicaid agency will notify you if any action is required. Some states may be able to verify your eligibility automatically using information already available to them. If additional information is needed, you may be asked to complete a renewal form or provide supporting documentation.

Be sure to keep your mailing address, phone number and email address up-to-date and watch for renewal notices from your state Medicaid agency. For information about your renewal date, renewal status or available online services, contact your state Medicaid agency or visit its member portal.

Yes. Medicaid members of all ages (children and adults) must complete an annual renewal.

Yes. All Managed Medicaid plans are required to follow the same Medicaid redetermination and renewal processes as the state.

Make sure your contact information is correct. You can update your contact information either online, by visiting your local DHS office or by calling your state’s Medicaid authority. You can find more information about updating your contact information here. We can’t update your contact information for you.

You can check out health insurance options on the federal marketplace. Visit healthcare.gov or call them directly at 800.318.2596 within 60 days after losing health coverage or any time during Annual Open Enrollment from November 1 through December 15. You can also contact the independent brokers listed above for your state for more assistance.

Never put off getting emergency care. If you have an appointment, your provider must check eligibility and benefits before services. You may have to pay the full charge if you proceed.

H.R. 1 is a federal law that makes changes to Medicaid eligibility and renewal requirements. Some Medicaid members may be affected by these changes beginning in 2026 and 2027.

Non-Citizen Eligibility (October 1, 2026)

• Medicaid and CHIP eligibility will be limited to lawful permanent residents, certain Cuban and Haitian entrants, and individuals from the Compacts of Free Association nations. 
  

Community Engagement Requirements (January 2027)

• Some adults enrolled through Medicaid Expansion (ages 19-64) will need to work (earning at least $580/month), attend school, volunteer or participate in other qualifying activities for 80 hours per month, unless exempt.
  

Renewals Every 6 Months (January 2027)

• Adults in the Medicaid Expansion Group (AEG) may need to complete renewals every six months.
  

Retroactive Coverage (January 2027)

• Retroactive coverage will be limited to one month for AEG and two months for other coverage groups, such as those with disabilities and children.

Cost Sharing (October 2028)

• The AEG is subject to cost sharing if income exceeds 100% of the federal poverty level.

Beginning in 2027, Medicaid eligibility redeterminations will be required every six months for adult expansion enrollees or those receiving Minimum Essential Coverage (MEC) through a waiver. Current 12-month requirement remains for all other populations.

• Keep your information up-to-date
• Open mail and notifications as soon as you get them
• Check your state Department of Human Services website often for updates