What You Should Know:
– CRISP, the nonprofit state-designated health information exchange (HIE) of Maryland, announced plans to expand its Medicaid Redetermination Notification project across the state to support care teams as they navigate redetermination for 1.6 million Medicaid enrollees.
– The project is a collaboration across state agencies and began as a pilot supporting federally qualified health centers who expressed concerns about lacking resources that would contribute to vulnerable patients slipping through the cracks and loosing coverage.
Medicaid Redetermination Notification Project Background
In partnership with Maryland Medicaid (MDH), the project provides healthcare delivery organizations with a secure report of all their patients who will face redetermination within the next 90 days. The program breaks down data siloes, ensuring healthcare centers have access to timely and accurate patient information, so care teams can perform outreach and navigate patients through the redetermination process. The notification project is currently available to Federally Qualified Healthcare Centers (FQHCs) and will expand to all CRISP-participating organizations by May 2023. CRISP will conduct outreach with more information to all eligible organizations as the project expands.
Medicaid Redetermination is a nationwide concern as all states will enter redetermination for 91.3 million people across the country. Behm emphasized the critical role HIEs can provide during redetermination: “By leveraging the infrastructure and technology already in place, HIEs can modernize the process and significantly reduce the burden on providers, clinics and state Medicaid agencies so they can instead focus on supporting patients.”