DPHHS to Re-evaluate Eligibility

The Department of Public Health and Human Services (DPHHS) will begin conducting Medicaid and Healthy Montana Kids (HMK) eligibility redeterminations on April 1 for the first time in three years.

Federal requirements during the COVID-19 pandemic led to the suspension of annual redeterminations, in order to keep every individual enrolled in Medicaid covered throughout the pandemic.

Last December’s federal omnibus spending bill, however, directed states to resume evaluating eligibility of Medicaid enrollees on April 1.

Beginning in April and over the course of 2023, DPHHS will evaluate current Medicaid and HMK members’ eligibility for continued coverage, and renew or terminate coverage as appropriate.