Systems Readiness Artifacts Refresher
Most states made changes to their eligibility and enrollment (E&E) systems in response to the
COVID-19 Public Health Emergency (PHE) and the continuous enrollment condition of the
Families First Coronavirus Response Act (FFCRA). Though the type and degree of system
changes vary by state, almost all states will need to make changes to their Medicaid Enterprise
Systems (MES) in order to resume full renewal processes when redeterminations are to take
place. These changes may include functionality related to terminating eligibility and coverage of
ineligible individuals, re-starting electronic verifications, or making updates to notices. Given
that states have also continued work on new or ongoing Medicaid Enterprise System (MES)
projects, states will need to identify all necessary changes and test their renewal processes to
ensure system readiness prior to returning to normal operations.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: January 06, 2023
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.