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REMINDER: SEP Available to Consumers Who Have Been Denied Medicaid/CHIP Coverage

See if your consumers are eligible for the Medicaid/CHIP Special Enrollment Period



Health Insurance Marketplace

June 21, 2024


Your Consumers May Still be Eligible for a Special Enrollment Period

CMS recently announced that the Unwinding Special Enrollment Period (SEP) has been extended until November 30, 2024. This SEP is in place to help consumers maintain coverage as they transition from Medicaid or Children’s Health Insurance Program (CHIP) coverage into a Marketplace plan.

 

Assisters like you are key to helping these consumers transition smoothly. *The Unwinding SEP may be available to consumers who:*


* Live in states with Marketplaces served by the HealthCare.gov platform.
* Submit a new application or update an existing HealthCare.gov application between March 31, 2023, and November 30, 2024, and attest that they have lost Medicaid or CHIP coverage between the same time period.


 

Consumers who are eligible for the Unwinding SEP will have 60 days after they submit their application to select a plan with coverage that will start on the first day of the month after they select a plan.


* Click here [ https://www.medicaid.gov/resources-for-states/downloads/extn-sep-cnsmrs-lsg-chip-cvrg-adndm-faq.pdf ] for more information on the Unwinding SEP. This document is an addendum to the original FAQ, which is available for reference here [ https://www.cms.gov/technical-assistance-resources/temp-sep-unwinding-faq.pdf ].
* For more information about the continuous coverage period, check out The Transitions in Coverage Guide for Marketplace Assisters [ https://www.cms.gov/files/document/transitions-coverage-guide-marketplace-assisters.pdf ]. This resource contains general information and guidance to better help you reach and assist consumers who may need to transition to coverage other than Medicaid/CHIP.

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*"Have questions? "*"Certified Application Counselors (CACs) should contact the CAC mailbox at CACQuestions@cms.hhs.gov, EAPs should contact ""EAPQuestions@cms.hhs.gov" <EAPQuestions@cms.hhs.gov>"_,_ and Navigators should reach out to their Project Officer."




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