Missouri children who receive government health insurance will soon be able to keep their coverage for a year without worrying about being kicked off the state rolls.
A approved last year ensures all people 18 and under who receive insurance through Medicaid and the Children鈥檚 Health Insurance Program will be covered continuously starting Jan. 1.
Missouri is among the states that do not .
鈥淗aving that 12 months of guaranteed coverage is going to provide more continuity for a family,鈥� said Caitlin Whaley, a spokeswoman for the Department of Social Services, the state agency that administers the programs. 鈥淢aking sure they have that continuous coverage really allows folks to plan and implement plans to keep their kids well, instead of just treating them when they're sick.鈥�
Eligibility for Medicaid and CHIP is determined by household income and size and children's ages.
Medicaid eligibility and enrollment can sometimes fluctuate throughout the year, said Traci Gleason, vice president of external relations for the Missouri Budget Project, a nonprofit policy research institute that has advocated for expanded health coverage.
鈥淵ou have people whose work hours might change, or seasonal workers, so this evens out coverage,鈥� she said. 鈥淢inor changes in income are going to mean the kids won鈥檛 get kicked off. So they鈥檙e able to build relationships with physicians, they鈥檙e able to plan care in a way that hasn鈥檛 been possible when they鈥檙e being reassessed every month.鈥�
The federal rule takes effect as tens of thousands of children are being removed from the state鈥檚 Medicaid program, MO HealthNet. Pandemic-era protections that kept Missouri and other states from removing anyone during the COVID-19 public health emergency expired earlier this year.聽
The state is systematically reviewing the state鈥檚 Medicaid recipients each month and removing those no longer eligible. Since the process started earlier this year, and close to half of those recipients were children, according to an analysis of state data by KFF, a nonpartisan health research nonprofit.
A large portion of those kicked off were disenrolled for 鈥減rocedural reasons.鈥� That means the state could not contact patients or otherwise prove their eligibility through data from WIC, SNAP (formerly known as food stamps) or other means.
While the continuous coverage requirement comes amid the state鈥檚 review of pandemic-era enrollees, the two are separate programs, Whaley said. The 12-month coverage will apply to those who enroll after Jan. 1, but those who are determined to be ineligible or who the state cannot reach during the Medicaid review process will still be taken off coverage.
鈥淸The] restarts of those annual renewals, that is a return to normal business,鈥� she said, 鈥淎nd even once we implement continuous eligibility, we will still be doing those annual renewals.鈥�
Advocates for children鈥檚 health coverage were pleased about the change coming in January but are still concerned about the kids being removed during the state鈥檚 Medicaid reviews.
Keeping health insurance stable means kids can have more checkups, vaccinations and health screenings to keep them from getting sick, said Tim McBride, a health economics professor at Washington University.
鈥淵ou know, we're worried about the number of kids we're losing now,鈥� he said. 鈥淕oing off and then going back on 鈥� the kids need coverage. I mean, their parents have sometimes difficult lives, and they may not sign them up again until they need coverage, which is not good.鈥�
Joel Ferber, advocacy director of Legal Services of Eastern Missouri, pointed out that the new requirements don鈥檛 serve those affected by the latest Medicaid purge.
鈥淚f you鈥檙e not on Medicaid you don鈥檛 benefit from continuous eligibility,鈥� he said. 鈥淚t's important that the state keeps kids who are eligible on the program now.鈥�
