If you are on Medicaid, you will need to be recertified annually. The recertification process demonstrates to Medicaid that (a) you are still alive; (b) you still need services, and (c) you are still financially eligible for Medicaid.
While the recertification process is far less onerous than the initial application, it does require diligence and the production of recent financial records.
Some people believe that their MLTC agency or their nursing home will take care of the recertification. Recertification is the explicit legal responsibility of the Medicaid recipient. However, in practice, nursing homes often assist or even direct the recertification process, because if the Medicaid recipient is not recertified, the nursing home will stop being paid.