#12691. Homelessness and medicaid churn

October 2026publication date
Proposal available till 01-06-2025
4 total number of authors per manuscript0 $

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Cultural Studies;
Arts and Humanities (miscellaneous);
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More details about the manuscript: Science Citation Index Expanded or/and Social Sciences Citation Index
Abstract:
Objectives: To identify ICD-10-CM diagnostic codes associated with the social determinants of health (SDOH), determine frequency of use of the code for homelessness across time, and examine the frequency of interrupted periods of Medicaid eligibility for beneficiaries with and without this code. Analyses were conducted to assess the frequency of use and pattern of New York State Medicaid claims submission for SDOH codes. Analyses were conducted for Medicaid claims submitted for years 20XX-20XX for Medicaid patients with and without a homeless code (ie, ICD-10-CM Z59.0) in 20XX. Main Outcome Measures: Any interruption in the eligibility for Medicaid insurance (Medicaid churn), assessed via client identification numbers (CIN) for continuity. Results: ICD-9-CM / ICD-10-CM codes for lack of housing / homelessness demonstrated linear reliability over time (ie, for years 20XX-20XX) with increased usage. In 20XX-20XX, 22.9% of New York Medicaid patients with a homelessness code in 20XX experienced at least one interruption of Medicaid eligibility, while 18.8% of Medicaid patients without a homelessness code experienced Medicaid churn. Conclusions: Medicaid policies would do well to take into consideration the barriers to continued enrollment for the Medicaid population. Measures ought to be enacted to reduce Medicaid churn, especially for individuals experiencing homelessness.
Keywords:
Access to Care; Coverage Gap; Homelessness; Medicaid Churn; Social Determinants of Health; Value-based Care

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