The federal government declared a public health emergency (PHE) effective Jan. 27, 2020, due to the coronavirus disease 2019 (COVID-19) pandemic and Congress passed the Families First Coronavirus Response Act (FFCRA) in March 2020. The combination of these actions has had an impact on Medicaid enrollment across the country. To comply with the provisions of the FFCRA, the South Carolina Department of Health and Human Services (SCDHHS) paused the typical Medicaid eligibility annual review process effective March 2020.