US Medical Term · insurance
Redetermination
Redeterminación
In 9 languages
| Language | Term |
|---|---|
| English | Redetermination |
| Spanish (Español) | Redeterminación |
| Chinese (中文) | 重新认定 |
| Korean (한국어) | 재결정 |
| Vietnamese (Tiếng Việt) | Xác định lại Tư cách |
| Filipino (Tagalog) | Muling Pagpapasya ng Pagiging Karapat-dapat |
| Portuguese (Português) | Reavaliação de Elegibilidade |
| Thai (ภาษาไทย) | การพิจารณาสิทธิ์ใหม่ |
| Japanese (日本語) | 資格再審査 |
What it means
Redetermination is the periodic process—usually annual—by which Medicaid reviews your eligibility to confirm you still qualify for coverage. States must notify you before your review date and attempt to renew coverage automatically using information already on file. If they cannot confirm eligibility without your input, they must contact you and give you time to provide updated information. During the post-COVID unwinding period, millions were disenrolled when states resumed redeterminations after a pause of several years. If you receive a redetermination notice, respond promptly to avoid losing coverage.
How to say it
Sentences a patient might use with a doctor, nurse, pharmacist, or insurer:
ree-deh-ter-muh-NAY-shun
redeterminación
Also called 'Medicaid renewal' or 'annual eligibility review'
También llamada 'renovación de Medicaid' o 'revisión anual de elegibilidad'
Notice will say: 'Action needed to keep your Medicaid coverage'
'Se requiere acción para mantener su cobertura de Medicaid'
Where you'll see it
Related terms
Sources
Last reviewed: September 2026