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DLS and MDH warn enrollment forecasts are volatile; audit raises questions about application processing
Summary
DLS and MDH told the subcommittee that recent system errors, pandemic-era renewal flexibilities and possible federal policy changes make Medicaid enrollment forecasts volatile and materially important to the FY26 budget.
The committee heard extended discussion about enrollment trends, the Medicaid redetermination process and federal uncertainty.
DLS analyst Anne Braun said Medicaid and MCHIP enrollment peaked at about 1,750,000 average participants in fiscal 2023 and had declined modestly in fiscal 24 and 25 amid the unwinding of pandemic-era protections. Braun said recent system errors and federal COVID-era renewal flexibilities paused some procedural disenrollments, and an audit of the Maryland Health Benefit Exchange (OLA) found that the exchange…
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