Advocates are calling for a halt to removals until the state can account for why more than 80% of the people who lost Medicaid coverage were eliminated for “procedural” reasons, like not responding to messages from the state. medicaid tx kprc2
Nurse practitioner Anika Barber with a patient at the Legacy Community Health Center in Houston on Aug. 2, 2013., The Texas Tribune’s daily newsletter that keeps readers up to speed on the most essential Texas news.
“If the high percentage of procedural denials continues, then Texas is on the verge of knocking a lot of eligible kids off of their health insurance,” said Diana Forester, director of health policy at Texans Care for Children. “If state leaders can’t quickly pivot to a more effective process, then they should consider pausing the Medicaid removals until they can get this right.
In the first month of this process, Texas reviewed the eligibility of almost 800,000 people. The state has not released demographic data, but said they are starting with people who likely no longer qualify for the program, like people who have aged out or those who no longer have an eligible child in their home.
Camerana said in a statement that clients have received notices at old addresses, in a language not listed as their primary language or after the deadline had already passed. The state worked with advocates, health care providers and insurers to try to get the word out about the upcoming renewal process, but procedural errors and delays hamstrung the process even when people were aware of the steps they needed to take.
“Kids’ eligibility doesn’t change as much,” said Gaby Aboulafia, a health policy Ph.D. student at Harvard University who is studying the unwinding. “Because the state hasn’t expanded, we can say with a lot of confidence that many of these people who were inappropriately kicked off were kids who are actually probably still eligible.”
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