At the beginning of the COVID-19 pandemic, the federal government declared a public health emergency or PHE.  Since March 2020, Guam Medicaid has followed special requirements related to the federal COVID-19 Public Health Emergency (PHE). These requirements have allowed Guam Medicaid participants to be continuously enrolled throughout the COVID-19 Public Health Emergency (PHE), and this “protected group” were allowed to remain on Medicaid regardless of any changes to their eligibility status.

However, on December 23, 2022, Congress passed the FY 2023 Consolidated Appropriations Act (CAA) that ends the continuous enrollment requirement for Medicaid that requires the State Medicaid agencies to begin renewals to redetermine eligibility.

This website will be updated periodically.  Information is current as of May 16, 2023.

DON’T RISK A GAP IN YOUR MEDICAID COVERAGE

• Guam Medicaid will begin this unwinding process during the month of May 2023 and is required to complete this process no later than July 2024. This will allow sufficient time for redetermining eligibility by assigned groups and to ensure that medical coverage for Medicaid participants is not disrupted.
   
• Guam Medicaid will conduct these redeterminations based on groups and plans to conduct this process whereby the highest utilizers of Medicaid will be redetermined toward the end of the 12-month unwinding period.
   
• Guam Medicaid participants who are also recipients of cash assistance and/or the Supplemental Nutrition Assistance Program (SNAP) who have submitted their Simplified Renewal Forms (SRF) do not need to resubmit another SRF strictly for Medicaid.

• New or reopen applications are considered separate from the protected group and will follow the normal enrollment and eligibility requirements. For example, if a new applicant did not meet the income eligibility requirement, that applicant would be denied.

The Department of Public Health and Social Services (DPHSS) will begin Guam Medicaid’s “Unwinding Period” to redetermine all Medicaid participants’ eligibility coverage to determine whether they are eligible for Medicaid under the normal pre-pandemic enrollment process.  In an effort to minimize potential problems and to expedite the process, DPHSS BES will require all Medicaid beneficiaries to complete an Updated Contact Information Form.