Center for Consumer Information and Insurance Oversight

Temporary Special Enrollment Period (SEP) for Consumers Losing Medicaid or the Children’s Health Insurance Program (CHIP) Coverage Due to Unwinding of the Medicaid Continuous Enrollment Condition– Frequently Asked Questions (FAQ)

The guidance referenced in this document is applicable to all Marketplaces, and provides specific operational details for consumers in Marketplaces using the federal eligibility and enrollment platform. This guidance does not replace or revise previously issued guidance, and it references current federal regulations at 45 CFR 155.420(d)(9) and (d)(1), Section 5131 of the Consolidated Appropriations Act of 2023 (CAA, 2023), the Center for Medicaid and CHIP Services (CMCS) Informational Bulletin dated January 5, 2023, and the CMCS State Health Official (SHO) letter #23-002, published on January 27, 2023. This guidance describes flexibilities for consumers and Marketplaces with regard to the Medicaid Continuous Enrollment Condition Unwinding SEP for plan years 2023 and 2024.