Questions and Answers

1. Do I need to do anything?

Maybe. If you get a letter from your local DSS asking for more information, give them the information as soon as you can to make sure there isn’t a gap or pause in your Medicaid health coverage

2. I got a letter in the mail requesting information. What do I do now?

Look to see who the letter is from. You may also receive a Request for Information form for you to fill out. If the letter is not from your local DSS, it may be a scam. Contact your local DSS to make sure it is from them.

View a sample letter and form (PDF).

3. I’m on a waiver. Does my eligibility get renewed?

Yes. If you are on waiver, you must have your Medicaid eligilbity renewed to keep your waiver slot.

4. Will I lose my Medicaid?

It depends. Your Medicaid eligibility is based on your income and your medical needs. If you have questions about your Medicaid case, ask your Medicaid caseworker for more information.

5. My Medicaid was renewed. What do I do now?

You do not need to do anything. You will get a letter from your local DSS letting you know your Medicaid was renewed. You will continue to use your current Medicaid ID card to receive care.

6. My Medicaid ended (or my Medicaid benefit program changed) and I don’t agree with the results. What can I do?

You can appeal your local DSS’ decision. You have up to 60 days from the date of the letter to ask for an appeal. If you file an appeal within 10 business days of the notice, your Medicaid may be continued while your appeal is reviewed.

Call, write, or contact your local DSS caseworker using ePASS to ask for a hearing if you do notagree with the change. If your Medicaid has ended, you can apply for health care coverage from the federal Health Insurance Marketplace. Go to healthcare.gov to learn more. You also have the choice to reapply for Medicaid.