Healthcare Access, Eligibility & Enrollment Unit (HAEEU) and 1 more... less...
Healthcare Access, Eligibility & Enrollment Unit (HAEEU)
# of Medicaid members due for a renewal since the beginning of the state's unwinding period whose renewal has not yet been completed (cumulative)
Current Value
659
Definition
Notes on Methodology
Story Behind the Curve
This measure is important because it shows the number of renewals that have come due in a given month but have not been completed. Reasons for renewal incompletion include customer-requested extensions, pending verification (documentation) from the customer, or not yet processed by DVHA.
This measure captures the status of Medicaid renewal processing which is a fundamental body of work in health care eligibility operations. During the COVID-19 pandemic, states were required to keep members enrolled in Medicaid. This continuous coverage requirement led to unprecedented growth in Medicaid enrollment. DVHA is now “unwinding” from Medicaid continuous coverage. This means that the eligibility units must process renewals and close for procedural reasons for the entire Medicaid population between April 2023 and June 2024.
HAEEU saw a rise in this metrics numbers due to the amount of renewals coming in each month. With each month’s mailing, HAEEU was unable to maintain the previous months workload in addition to those newly coming in. DVHA added an additional resource (Maximus) to support renewal processing and help manage backlogs during this time. The additional resource (Maximus) is set to end on May 31st.
Last updated: 04/29/24
Partners
- ADPC
- Maximus
- Optum
Clear Impact Suite is an easy-to-use, web-based software platform that helps your staff collaborate with external stakeholders and community partners by utilizing the combination of data collection, performance reporting, and program planning.