Eligibility and Enrollment

The Patient Protection and Affordable Care Act (ACA) included new eligibility and enrollment requirements, which have presented states with significant implementation opportunities and challenges. Although states had choices about whether to host a health insurance exchange or expand Medicaid, the ACA required all states to make major changes to Medicaid eligibility policy, including adding mandatory […]

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  • Publications

    In this new issue brief, NASHP identifies considerations and policy options for states pending the outcome of King v. Burwell. A pro-King decision might end federal subsidies provided to individuals in the 34 states that used the Federally-Facilitated Marketplace to enroll in health insurance coverage, impacting about 7.3 million people. Although the outcome of the case is uncertain, states may want to […]

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    March 17, 2015 | Filed under: Eligibility and Enrollment, Publications, State Exchanges
  • Publications

    FEBRUARY 2014 Paving the Way to Simpler: Experience from Maximizing Enrollment States in Streamlining Eligibility and Enrollment Early State Experiences with the First Open Enrollment Under the Affordable Care Act Keerti Kanchinadam, Policy Analyst   DECEMBER 2013 Managing Program Change: Experience From Maximizing Enrollment States in Leadership, Culture Change, Coordination, and Data Maureen Hensley-Quinn, Program […]

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    February 10, 2015 | Filed under: Eligibility and Enrollment, Publications
  • Publications

    This publication offers the first comprehensive look at the opportunities in the Affordable Care Act (ACA) to drive better outcomes for children and parents together.

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  • Publications

    As states and juvenile justice stakeholders work to facilitate health coverage and access for system-involved youth, they can draw upon the experiences of their counterparts across the country to improve eligibility, enrollment, and outreach processes. Medicaid eligibility strategies in several states have already facilitated seamless coverage for juvenile justice-involved youth, and consumer assistance programs created […]

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    March 7, 2014 | Filed under: Eligibility and Enrollment, Medicaid, Publications
  • Publications

    Since 2009, eight states participating in the Robert Wood Johnson Foundation’s Maximizing Enrollment program have worked to streamline eligibility and enrollment systems, policies, and procedures.   States have improved customer experience and reduce unnecessary burden on eligibility staff by implementing simplification strategies at every step of the enrollment and renewal process. This Maximizing Enrollment report—the third […]

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    February 12, 2014 | Filed under: Eligibility and Enrollment, Publications
  • Coverage for Pregnant Women Under the ACA
    State Health Policy Blog

    By Jennifer Dolatshahi January 2014 This blog post was originally published on State Refor(u)m’s State of Implementation Blog The Affordable Care Act (ACA) creates new coverage options for pregnant women through Medicaid expansion and subsidized marketplace coverage. It also creates some new challenges in coverage of pregnant women because of overlapping eligibility levels and the […]

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    January 31, 2014 | Filed under: Eligibility and Enrollment, State Health Policy Blog
  • Publications

    The Affordable Care Act (ACA) expands health insurance coverage options to millions of uninsured individuals, and makes significant changes to state eligibility and enrollment processes. Many of these changes were implemented by October 1, 2013, with the beginning of the first open enrollment period for health insurance marketplaces. This brief describes states’ experiences—including challenges and […]

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    January 30, 2014 | Filed under: Eligibility and Enrollment, Publications, State Exchanges
  • Maximizing Enrollment: Transforming State Health Coverage
    Toolkits

    Maximizing Enrollment: Transforming State Health Coverage was a $15 million, five-year national initiative concluded in January 2014. The program aimed to help states transform their eligibility and enrollment systems to improve enrollment and retention of those eligible for Medicaid and the Children’s Health Insurance Program (CHIP). Initiated as Maximizing Enrollment for Kids in 2009, before […]

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    January 23, 2014 | Filed under: Eligibility and Enrollment, Toolkits
  • Webinars

    Many states began moving forward with their plans to expand Medicaid even before the Supreme Court’s 2012 ruling on the ACA. Other states have more recently decided to pursue expansion, with a number pursuing non-traditional Medicaid alternatives. This webinar will provide a closer look at the various ways states are expanding Medicaid to those who […]

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    January 16, 2014 | Filed under: Eligibility and Enrollment, Webinars