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Important Update! Changes to continuous coverage for Medicaid and Child Health Plus members as of July 1, 2026.

Continuous Coverage is Changing

Due to changes in federal rules, states can no longer provide 12 months of continuous coverage for adults enrolled in Medicaid or extend continuous coverage for children enrolled in Medicaid or Child Health Plus beyond 12 months.

Effective July 1, 2026:

  • Children no longer have continuous coverage from birth through age 6 and now must renew each year.
  • Children age 7 through 18 will continue to have 12 months of continuous coverage, with no changes. Please continue to renew coverage each year.
  • Adults 19 and over cannot stay enrolled in Medicaid if they have income over the Medicaid level between renewal dates.
  • Pregnant members will continue to have continuous coverage during pregnancy and through the 12-month postpartum period. No action is needed.

Stay Informed About Your Renewal Dates and Eligibility

Check the NY State of Health (NYSOH) website, your email, and mail for more information from NYSOH.

To ensure you receive updates and to help NYSOH determine your eligibility, make sure your contact and other information is up to date. Sign in to your account at nystateofhealth.ny.gov or call 855-355-5777 (TTY: 800-662-1220) from 8 a.m. to 8 p.m., Monday through Friday, and 9 a.m. to 1 p.m. on Saturday.

If you enrolled through a local Department of Social Services (DSS) or Human Resources Administration (HRA) office, contact your local office for more information about your coverage, renewing, or to update your contact information.

Frequently Asked Questions

The Centers for Medicare & Medicaid Services (CMS) no longer allow states to provide 12 months of continuous coverage for adults in Medicaid or extend continuous coverage for children in Medicaid or Child Health Plus beyond 12 months.

This change is required by federal policy and is not an EmblemHealth decision.

You will receive a renewal notice from NY State of Health or your local Department of Social Services (DSS) or Human Resources Administration (HRA) office.

It’s important to keep your contact and other information up to date so you don’t miss important notices. Be sure to review any notices carefully and follow the instructions by the deadline to keep your coverage.

All Medicaid and Child Health Plus members need to renew coverage each year. If your coverage isn’t renewed on time, you may lose your insurance and experience a gap in coverage.

It’s important to keep your contact and other information up to date so you don’t miss important notices. Be sure to review any notices carefully and follow the instructions by the deadline to keep your coverage.

Yes. All Medicaid and Child Health Plus members need to renew coverage each year, regardless of age.

As of July 1, 2026, coverage must now also be renewed each year for children from birth through age 6 enrolled in Medicaid or Child Health Plus. This is a new federal requirement and not an EmblemHealth decision.

Watch for a renewal notice and follow the instructions to keep your child covered. If renewal is not completed on time your child’s insurance may end, resulting in a gap in coverage.

If you need help renewing your child’s coverage, call us at 888-432-8026 (TTY: 711) from 8 a.m. to 6 p.m., Monday through Friday. 

If your child is no longer eligible for Medicaid or a Child Health Plus plan after renewal, coverage may end.

If your child qualifies for another program, NY State of Health will review eligibility and determine next steps.

If you need help renewing your child’s coverage, call us at 888-432-8026 (TTY: 711) from 8 a.m. to 6 p.m., Monday through Friday. 

Yes. Starting July 1, 2026, if you are age 19 or older, your Medicaid coverage may end before your renewal date if changes to your income or household information mean you are no longer eligible for Medicaid. (These changes do not apply to members under age 19.)

If you qualify for another program, your eligibility will be reviewed and next steps will be determined.

Please note, these changes do not apply if you are pregnant or during the 12-month postpartum period and no action is needed to continue your coverage.

Yes. If you are pregnant, these changes do not apply during your pregnancy or through the 12‑month postpartum period. Your coverage will continue during this time and no action is needed.

QUESTIONS?

We’re here to help.

Visit our renewing coverage page or call us at 888-432-8026 (TTY: 711) from 8 a.m. to 6 p.m., Monday through Friday. 

Need help renewing? Call us.

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Also of Interest: 
Individual & Family Plans   |   Help Renewing Your Plan   |   Health Insurance in New York