The director of Missouri’s Medicaid program said he expects “about 200,000” Medicaid enrollees to lose coverage over the course of a year as a result of the state resuming annual eligibility renewals after a three-year pause.

The state’s Department of Social Services has not previously provided a public estimate of those projected to lose coverage. DSS said Wednesday it expects Medicaid enrollment numbers to “level off” approaching this July and then “slowly ramp down” by around 200,000 people over the course of the next fiscal year, which lasts from July 2023 to July 2024.