“With the Public Health Emergency ending on May 11, 2023, the VI Medicaid’s unwind process began in June 2023, requiring all members to be recertified and since then, enrollment has reduced by 44 percent,” George said. “Even with a significant decrease in members, contrary to the department’s anticipation, the program’s claims expenditures have not reduced accordingly. For Fiscal Year 2024, claim cycles average $8.6 million per month while in Fiscal Year 2023, claim cycles averaged $9.3 million in expenditures. At almost three quarters of the year, the department has spent 81 percent of what it spent in all of FY23 for claims, and at the end of Quarter 2, had spent 9 percent more on claims than it did in Q2 of Fiscal Year 2023.”
