Eligibility and Enrollment

Tracking why individuals lose coverage can be a powerful tool for states to understand public coverage programs. This brief makes recommendations to improve the coding of denials and disenrollments suggesting fourteen codes to replace current complex codesets, which in some states number over 100 codes. Streamlining can help states to get a better handle on […]

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  • Publications

    The Maximizing Enrollment report “Consumer Assistance in the Digital Age: New Tools to Help Enroll People in Medicaid, CHIP, and Exchanges,” focuses on the various ways states can help customers connect to coverage and explores how current consumer assistance will change as new tools are deployed and technology transforms the enrollment process. The paper draws on the experience of states that have advanced children’s coverage […]

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    August 1, 2012 | Filed under: Eligibility and Enrollment, Publications
  • State Health Policy Blog

    By Nicole Dunifon July 2012 This blog post was originally published on State Refor(u)m’s Sate of Implementation Blog Many states are seizing the opportunity to draw down a 90 percent federal matching rate to design and develop new and upgraded Medicaid eligibility systems to support seamless enrollment. To secure the 90 percent match, states must […]

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  • Webinars

    For a complete slide presentation, click here. With the recent affirmation by the Supreme Court that the Affordable Care Act (ACA) passes constitutional muster, states will want to accelerate their planning efforts to implement eligibility system provisions under the law for Medicaid, CHIP and Exchanges. This webinar will offer detailed analysis of one of these […]

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    June 19, 2012 | Filed under: Eligibility and Enrollment, Webinars
  • Publications

    A 1999 survey of states by the National Academy for State Health Policy sought to examine the specific policies and procedures states have adopted to minimize these barriers and to ensure that the health care needs of children in foster care are met. The survey questionnaire was mailed to both Medicaid and Chief Welfare officials […]

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  • Publications

    According to a 1995 report by the General Accounting Office, the 300,000 children living in foster care are among the most vulnerable children in the U.S. As a group, they are sicker than homeless children and children living in the poorest sections of inner cities. This high level of health care need makes health care […]

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  • Publications

    This report is the final phase of the National Academy for State Health Policy’s contribution to a larger study of Medicaid managed care enrollment and disenrollment, funded by The Pew Charitable Trusts and conducted by Cornell University and Virginia Commonwealth University. It focuses on the enrollment and disenrollment policies and experience of Medicaid managed care […]

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    May 31, 2012 | Filed under: Eligibility and Enrollment, Medicaid, Publications
  • Webinars

    By 2019, Medicaid is estimated to cover an additional 16 million of the most vulnerable Americans, significantly increasing the shape and size of the program. On this State Refor(u)m webinar, officials from three states will provide a closer look at what states are doing to prepare. Moderator: Sonya Schwartz, Program Director, National Academy for State […]

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    May 24, 2012 | Filed under: Eligibility and Enrollment, Webinars
  • Publications

    Volume I: Contracting Arrangements, Beneficiary Choice, Enrollment and Disenrollment, and Tracking These papers were prepared prior to the passage of the Balanced Budget Act of 1997. The Act makes significant changes that will affect managed care programs for dually eligible beneficiaries. However, the specific impact cannot be fully determined until regulations are drafted by HCFA. […]

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    May 2, 2012 | Filed under: Eligibility and Enrollment, Medicaid, Publications
  • Publications

    The rising number of people with Alzheimer’s disease presents significant challenges for family members, caregivers, advocates, public policy makers and service providers. Faced with budgetary pressures and concerns about access to care and continuity of care, states are developing managed care programs for elderly Medicaid beneficiaries, reviewing eligibility policies and fine tuning assessment tools used […]

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