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Unwinding is the name for states rechecking everyone's Medicaid case. This began after a pandemic rule that kept people enrolled came to an end.
For a few years, states could not remove anyone from Medicaid. Starting April 1, 2023, states could begin that process again for the entire caseload. Renewal notices went out to millions of people, many for the first time in years.
This word shows up in news coverage and state announcements about the wave of Medicaid renewals after 2023.
“Starting April 1, 2023, states could resume Medicaid disenrollments”
Programs
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Related words
Churn
Churn happens when someone loses Medicaid by mistake, usually over missing paperwork. They then sign back up, even though little really changed.
Continuous eligibility
Continuous eligibility keeps a child on Medicaid. This lasts a full year. Coverage stays even if family income changes.
Redetermination
A redetermination is a new check of your Medicaid or SSI case. A state agency does this to see if your benefits go on. It usually happens once a year.
Ex parte renewal
An ex parte renewal is when the state renews your Medicaid on its own. It uses records it already has, so you fill out no form.
Sources
- KFFRetrieved 2026-07-08
Last reviewed 2026-07-08