Status of Medicaid Redeterminations: Data from the Florida Department of Children and Families (DCF)

Status of Medicaid redeterminations conducted by
the Florida Department of Children and Families (DCF)
As of:  August 31, 2023

Background: In 2020, in response to the COVID-19 pandemic, federal legislation provided states with significant federal funding to provide continuous Medicaid coverage for individuals enrolled in the program, even those who were no longer technically eligible. In late December 2022, federal legislation was passed requiring the continuous Medicaid coverage requirement to end on March 31, 2023. 

Each state was required to develop a plan to review the eligibility of all of its Medicaid enrollees, renewing those who remain eligible and terminating Medicaid for those who no longer meet eligibility requirements. Florida's plan called for reviewing eligibility for its approximately 4.9 million Medicaid enrollees over 12 months, beginning in March 2023..  

Data Reported: Below is the most recent data available from the Florida Department of Children and Families regarding the progress of its Medicaid redeterminations.  

• Less than 50% of all Medicaid redeterminations have been completed
• 62% of beneficiaries subjected to redetermination have been renewed and retained
• 18% of all redeterminations have been completed “ex parte,” i.e., automatically based upon verification sources available to DCF
• ​17% of all redeterminations have resulted in coverage being terminated not based upon ineligibility but for procedural reasons, i.e., failure to timely return paperwork requested by DCF. These procedural terminations account for 55% of all terminations.

Additional historical data and calculations regarding Florida’s redetermination process can be viewed here.  Spreadsheet comparisons of original and revised monthly reports are available here.

All of DCF’s unwinding reports, beginning with the baseline data reported submitted in March, 2023, can be viewed here.

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