This authoritative paper provides a comprehensive knowledge foundation and outlook for State Medicaid agency leadership and staff addressing the upcoming return to normal operations after the Public Health Emergency is declared over. Key Findings: The federal Public Health Emergency (PHE) has had far-reaching implications on public health programs nationwide for more than two years and will have impacts for years to come. This has resulted in a significant increase in Medicaid enrollment (17M, a 24% increase as of the latest available data) due to rules requiring states to suspend normal eligibility redetermination processes in exchange for increased federal funding.

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