• You're one step from joining Medicaid Forum – Coverage, Eligibility & Healthcare Assistance.
    Create a free account to post, follow threads, and never miss an update.  Sign up free →

Medicaid redetermination issues anyone else seeing this?

claimcarebuddy163

New member
Joined
Jul 13, 2025
Messages
3
I've been helping my aunt with her Medicaid renewal recently, and it's been quite the ordeal. She received a notice saying she no longer qualifies, but it came with only 3 days left on a 10-day deadline to submit her proof. I've also talked to a few neighbors facing similar problems, particularly those on Humana DSNP plans

I'm wondering if anyone else is experiencing this. Is it true that there's a 6-month grace period for DSNP folks to resolve these issues? And if someone gets dropped from Medicaid, does that automatically trigger a Special Enrollment Period for them? I'd really appreciate hearing how you all are managing this or any tips you might have
 
That's incredibly frustrating, I'm sorry to hear this..
Did they at least mention why your aunt got disqualified?
Try to confirm it directly with Humana but yes, there's typically a grace period of up to 6 months for DSNP members if they lose Medicaid.
Losing Medicaid also usually triggers a Special Enrollment Period.
This lets her switch Medicare plans outside of normal enrollment, often for up to six months after Medicaid ends.
Contact both Medicaid and Humana and make an appeal!!
Keep all your documents and maybe consider getting services for local elder care or legal aid.
 
There can be a Special Enrollment Period if someone loses Medicaid, but it depends on the situation and timing. The 6-month grace period for DSNP might apply, but best to double check with your state Medicaid office to be sure.
 
The way states are handling Medicaid renewals right now feels like bureaucratic sabotage. Giving seniors 3 days on a 10-day deadline is practically designed to make them lose coverage, it's not a process, it's a purge.
 
Back
Top