Eligibility and Enrollment

Eligibility Levels for Coverage of Pregnant Women in Medicaid and CHIP

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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  • 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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  • The Affordable Care Act created new opportunities for health centers and primary care associations (PCA) to play a leading role in supporting outreach and enrollment into new and expanded health coverage programs.  Health centers and PCAs received new funding, sometimes from multiple state and federal entities, new training and tools, and a new mandate to find and […]

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    October 30, 2015 | Filed under: Eligibility and Enrollment, Kentucky, Montana
  • Publications

    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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    July 21, 2015 | Filed under: Eligibility and Enrollment, Publications
  • 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