Eligibility and Enrollment

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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  • Health Coverage Options for Pregnant Women

    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

  • Maps
    Eligibility Levels for Coverage of Pregnant Women in Medicaid and CHIP

    Eligibility Levels for Coverage of Pregnant Women in Medicaid and CHIP

    *Updated January 2019 This National Academy for State Health Policy (NASHP) map provides eligibility levels for states’ Medicaid and Children’s Health Insurance Program (CHIP) coverage for pregnant women. Please see the accompanying chart for eligibility levels for states’ coverage in 2013, 2015, and 2017. Coverage levels for 2015 and 2017 include states’ modified adjusted gross income-converted eligibility levels. […]

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  • State Health Policy Blog

    Planning Now: State Policy and Operational Considerations if Federal CHIP Funding Ends

    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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  • Looking Ahead: A Timeline of State Policy & Operational Considerations if Federal CHIP Funding Ends for States

    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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  • Health Centers’ Role in Affordable Care Act Outreach and Enrollment: Experience from Kentucky and Montana

    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

    State Enrollment Experience: Implementing Health Coverage Eligibility and Enrollment Systems Under the ACA

    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

    New Brief Outlines State Options Pending Supreme Court Ruling

    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

    Maximizing Enrollment 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

    The Affordable Care Act: Affording Two-Generation Approaches to Health

    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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