This brief, made possible by the Robert Wood Johnson Foundation, outlines key steps that states can take to reduce the potential gaps in coverage caused by churn. It includes examples from states that have begun to address this issue and outlines concrete strategies for states to mitigate the impact of coverage transitions. Strategies will likely vary from state-to-state, but common elements outlined in this brief will guide states in devising a comprehensive strategy to address the potential downsides of churn.