Medicaid recertification

COVID-19 put the Medicaid renewal process on hold, but starting Spring 2023, New York will resume eligibility reviews and renewals for people enrolled in the program.

Most OPWDD services are provided through New York State’s Medicaid program, jointly funded by the federal and state governments. Accordingly, you might need to take action.

So what to do? First, make sure Medicaid has the correct address for recertification paperwork, which in theory, I believe, should be sent when it’s time without you having to do anything else. (See ARC’s deeper dive on the steps, below.). I personally also called the Westchester County Department of Social Services to confirm the case was still active and to ask if they had an idea when my family member would need to recertify. They did not have any idea.

If your family member has a care manager, you might also check with them about any Medicaid concerns.

ARC suggests that you:

  1. Verify that your contact information is updated. Make sure your state Medicaid agency has your current mailing address, phone number, email, or other contact information so they can easily contact you about your Medicaid coverage.
  2. Check your mail regularly. The state Medicaid agency will mail you a letter about the status of your Medicaid coverage. This letter will also let you know if you need to complete a renewal form to see if you still qualify for Medicaid.
  3. Complete and send in your renewal form (if you get one). Fill out the form and return it to your Medicaid agency to help avoid a gap in your Medicaid.
  4. If your Medicaid coverage has ended, visit to find an affordable, comprehensive health plan.

Photo: Creative Commons

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