Eligibility and Enrollment

Federal funding for the Children’s Health Insurance Program (CHIP) is set to end this September, and without Congressional action, states will soon confront significant fiscal challenges. If states exhaust their federal CHIP funds, those with separate CHIP programs can cap enrollment and take steps to close their CHIP programs. States that operate Medicaid expansion CHIP […]

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  • State of the State speeches provide governors with an opportunity to highlight recent policy successes as well as outline key plans and issue areas of focus for the coming year. These speeches are generally strong indicators of governors’ main priorities and sometimes also include specific proposal suggestions and funding recommendations for deliberation by legislatures. Currently, […]

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  • The 2017 open enrollment period for individual coverage has now ended. The figures below represent the latest data on exchange enrollment for states that operate State-based Marketplaces (SBMs) or State-based Marketplaces on the federal platform (SBM-FPs). [i] “Covered California Finishes Fourth Open Enrollment with More Than 412, 000 New Consumers and Strong Participation from Young Enrollees” […]

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    February 28, 2017 | Filed under: Charts, Eligibility and Enrollment, Front Page, Insurance Exchanges
  • State Health Policy Blog

    While the importance of the Children’s Health Insurance Program (CHIP) for children has been widely documented, it is also important to remember that states can and many do use CHIP to provide coverage to low-and moderate-income pregnant women. With federal-funding for CHIP due to run out by the end of this federal fiscal year (September […]

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  • Publications,State Health Policy Blog

    If federal funding is not extended for the Children’s Health Insurance Program (CHIP) beyond September 2017, some children may need to transition to exchange coverage. NASHP’s new brief examines potential options and policy questions for improving exchange coverage for children in terms of both affordability and pediatric benefit adequacy. NASHP convened a group of stakeholders including […]

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  • As a result of the Affordable Care Act (ACA) and the creation of health insurance exchanges, there are more coverage options for pregnant women in all states. In addition to insurance through exchanges, all states offer Medicaid coverage for pregnant women and a number of states also offer them coverage through their CHIP programs. Although […]

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    October 3, 2016 | Filed under: Eligibility and Enrollment, Medicaid, Women's Health
  • How do premiums and maximum out-of-pocket costs vary across bronze, silver, gold, platinum, and catastrophic plans available in 2016 through HealthCare.gov?

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    September 30, 2016 | Filed under: Eligibility and Enrollment, Insurance Exchanges SR, Medicaid
  • Eligibility Levels for Coverage of Pregnant Women in Medicaid and CHIP
    Maps

    This map set provides eligibility levels for states’ coverage of services for pregnant women under Medicaid (Title XIX of the Social Security Act) and Children’s Health Insurance Program (Title XXI of the Social Security Act) in 2015. Please see the accompanying chart for eligibility levels for states’ coverage in 2013, 2014, and 2015. Coverage levels for  2014 […]

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    September 22, 2016 | Filed under: Eligibility and Enrollment, Maps, Medicaid, Women's Health
  • State Health Policy Blog

    Federal funding for the Children’s Health Insurance Program (CHIP) is currently set to end in September 2017, and states need to be prepared for the possibility that Congress will not act to extend the funding. Medicaid expansion CHIP programs are required through the Affordable Care Act’s (ACA) maintenance of effort (MOE) provision to maintain eligibility […]

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  • Without Congressional action, federal funding for the Children’s Health Insurance Program (CHIP) is due to end in September 2017. The National Academy for State Health Policy (NASHP) created this infographic to highlight the main policy and operational issues that would need to be considered and addressed in states with separate CHIP programs if future federal funding […]

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