In March 2022, the Centers for Medicare and Medicaid Services issued guidance providing direction to states as they prepare for the end of the COVID-19 public health emergency (PHE). States must resume Medicaid eligibility and enrollment activities as the continuous enrollment provision ends. This white paper describes five considerations for managed care organizations as they prepare for the unwinding of continuous enrollment and other emergency provisions put in place during the PHE. The main points include:

• Engage your state Medicaid agency
• Support your members
• Adapt your financial plan
• Watch members’ ability to access care
• Manage impact on administrative services