On April 1, 2023, states can begin disenrolling Medicaid enrollees for the first time since March 2020, under provisions of the Consolidated Appropriations Act that unwind the pandemic-related Medicaid continuous coverage requirement and allow states to resume regular renewal processes. However, enrollees who are unaware of the change may be less prepared to complete the necessary steps to maintain coverage or, if they are no longer eligible, to obtain other coverage. In this fact sheet, we present updated estimates of awareness of the change based on the December 2022 Well-Being and Basic Needs Survey. We find the following:

• In December 2022, more than 6 in 10 adults in Medicaid-enrolled families were not aware of an upcoming return to the regular Medicaid renewal processes, a rate that has not changed significantly since June 2022. Specifically, 64.3 percent of adults enrolled in Medicaid or with an enrolled spouse, partner, or child had heard nothing at all about the upcoming change in December 2022. An estimated 5.1 percent had heard a lot, 13.9 percent had heard some, and 16.0 percent had heard only a little.

• Awareness was low across the country, regardless of region, state Medicaid expansion status, or type of Marketplace operating in a state. Though fewer adults in the West were unaware of the upcoming change than in the Northeast (61.3 versus 66.5 percent), lack of awareness of the change was above 60 percent in all four regions of the country. Awareness was similar in state groups based on whether states had or had not adopted the Affordable Care Act’s Medicaid expansion (with 64.5 percent in expansion states and 63.7 percent in nonexpansion states unaware) or whether states used state-based or federally facilitated marketplaces (64.3 and 64.2 percent, respectively).

Most adults in enrolled families had heard nothing about change, and awareness did not vary widely by state characteristics. These findings suggest the need for widespread outreach and education efforts.