HR1, Redetermination, and the Future of Coverage Continuity

Behavioral health organizations serving Medicaid populations are facing a new layer of complexity in 2027 and beyond: coverage loss that has nothing to do with eligibility. With H.R.1 now law, more frequent redeterminations, tightened retroactive coverage windows, and new administrative requirements mean that a missed notice or a delayed piece of paperwork can cost an eligible client their benefits—often without anyone on the care team realizing a deadline was even at risk.

In this one-hour thought leadership webinar hosted by National Council for Mental Wellbeing, Dror Zaide, Co-Founder and CBO at Eleos Health, and Kate Benedetto, Customer Insights Manager at Eleos, were joined by Dana Royse, President and CEO of New Vista, to unpack how H.R.1 is reshaping Medicaid coverage continuity for people with serious mental illness and substance use disorders.

Together, they examined where renewal workflows most often break down, and what it takes to move from simply identifying coverage risk to actually preventing it.

Viewers will gain insight into:

• The key provisions of H.R.1 and its phased implementation timeline, including more frequent eligibility redeterminations, new work requirements, and shortened retroactive coverage windows
• Where Medicaid renewal workflows are most likely to break down for behavioral health clients
• How to get the right information to the right person before a lapse becomes irreversible
• What a proactive, action-oriented approach to coverage continuity looks like—versus one that only flags risk after the fact
• Practical strategies for behavioral health organizations to protect clients who remain eligible but are vulnerable to losing coverage due to process gaps, not disqualification

This session offers a pragmatic look at how behavioral health leaders can adapt their workflows to the realities of H.R.1—helping ensure that clients who are still eligible for Medicaid don't lose the benefits they depend on.