Charts

This chart highlights marketplace policy decisions related to pediatric dental coverage for the 2014 plan year.  It tracks the kinds of pediatric dental products that marketplaces solicited and offered on the marketplace in 2014, particularly whether dental benefits were offered through stand-alone dental products (SADP), as “bundled” products that paired a specific SADP and a qualified […]

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  • States that choose to expand Medicaid have the flexibility to determine what benefits they will offer to the newly eligible population. The set of benefits offered to the new adult group (all non-elderly, non-pregnant adults with incomes at or below 138 percent FPL) is known as an Alternative Benefit Plan (ABP). This chart tracks the […]

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    June 3, 2016 | Filed under: Charts, National
  • [1] The exchange model column references information from State Refor(u)m’s Where States Stand on Exchanges map, available at https://www.statereforum.org/where-states-stand-on-exchanges. FFE: Federally-facilitated Exchange SBE: State-based Exchange SPE: State Partnership Exchange [2] State active purchasing policies referenced in this column are taken from State Refor(u)m’s States’ Approaches to Qualified Health Plan Certification, available at https://www.statereforum.org/state-QHP-certification. [3] We […]

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    June 3, 2016 | Filed under: Charts, National
  • As a result of the ACA’s new eligibility rules, states were required to develop plans outlining their Medicaid and CHIP eligibility verification procedures. A previously published State Refor(u)m chart, State Medicaid and CHIP Eligibility Verification Plans, highlights key elements from states’ Medicaid and CHIP eligibility verification plans, such as which eligibility factors are verified through electronic data […]

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  • This chart provides eligibility levels for states’ coverage of services for pregnant women under Medicaid (Title XIX of the Social Security Act) and the Children’s Health Insurance Program (Title XXI of the Social Security Act) in 2013 and 2014. Coverage levels for 2014 include states’ modified adjusted gross income (MAGI)-converted eligibility levels. Every state provides […]

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    June 3, 2016 | Filed under: Charts, Medicaid, Medicaid Benefits, National
  • As we noted in a previous analysis, the State Innovation Model (SIM) Testing Awards that HHS awarded to six states (Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont) were to support states’ work on multi-payer payment and delivery system reform. Strategies to improve the population’s health were a critical aspect of the SIM awards. The SIM […]

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    June 3, 2016 | Filed under: Arkansas, Charts, Maine, Massachusetts, Minnesota, Oregon, South Carolina
  • For 2014 legislative activity and other Medicaid expansion updates, see State Refor(u)m’s Medicaid expansion map. At State Refor(u)m, we are continuing to track state Medicaid expansion activities. This revised chart includes additional details on key elements of Medicaid expansion bills that have been introduced in state legislatures, such as proposals to provide coverage to the […]

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  • When open enrollment begins on October 1, consumers will be able to select and purchase health coverage online through a state-based exchange or the federal marketplace. This chart provides useful links to the web portals, where consumers can purchase coverage, as well as links to relevant agency websites containing exchange policy and consumer assistance-related information. […]

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  • Due to the ACA’s new eligibility verification rules, states have developed plans outlining Medicaid and CHIP eligibility verification procedures. This chart highlights key elements from states’ verification plans, such as which eligibility factors are verified through electronic data and the specific data sources states are using, as well as whether self-attestation is accepted for some eligibility […]

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  • With open enrollment underway, exchanges are mobilizing their efforts to provide assistance to individuals who will begin enrolling in coverage options in October. This chart highlights the approaches states have taken to develop education and training for the individuals who will provide enrollment assistance through Navigator, In-Person Assister (IPA) and Certified Application Counselor (CAC) programs. […]

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