As of August 2023, at least 4,581,000 Medicaid enrollees have been disenrolled. All levels of health center staff need to know about the significance of the Medicaid unwinding on their health center and the patients they serve. NACHC has put together this strategy guide to support health center executives and outreach & enrollment staff. This guide was developed with feedback from health centers in how to strengthen health center communications, how to monitor renewals, and include ideas related payment and in-reach strategies to implement.