Eligibility and Enrollment

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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  • Publications

    Early State Experiences with the First Open Enrollment Under the Affordable Care Act

    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

  • Toolkits
    Maximizing Enrollment: Transforming State Health Coverage

    Maximizing Enrollment: Transforming State Health Coverage

    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

    State Approaches to Medicaid Expansion

    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

  • Maximizing Enrollment Participating State Profiles

    The eight states participating in the Maximizing Enrollment program aimed to simplify and streamline enrollment and renewal policies, systems and processes for Medicaid and CHIP and prepare for ACA implementation.  These state profiles offer a snapshot of the states’ work within the program by highlighting the following: Where states started; Major Simplifications Implemented as a […]

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    January 14, 2014 | Filed under: Eligibility and Enrollment

  • Enrollment

    States have been working to improve public health coverage program application, enrollment and retention systems for individuals and families for decades. Beginning in the 1990’s and inspired by the flexibility offered under the Children’s Health Insurance Program (CHIP), states have piloted and implemented policies aimed at increasing enrollment of eligible populations, reducing enrollment and renewal […]

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    January 14, 2014 | Filed under: Eligibility and Enrollment

  • Publications

    Medicaid Agency Training for Consumer Assisters in Federally Facilitated Marketplace States

    Various types of assisters are at work across the country to support consumers with enrollment in health coverage. Consumers will be screened for eligibility for both Medicaid and the marketplace and will be referred to the appropriate program for enrollment, regardless of where they first seek coverage. State Medicaid agencies can play an important role […]

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    January 10, 2014 | Filed under: Eligibility and Enrollment, Publications

  • State Health Policy Blog

    Ringing in a New Year for Children’s Coverage

    By Carla Plaza January 2014 The start of a new year is a time for reflection and making resolutions. A new year also brings renewed hope, and in 2014, many individuals and families will have access to health insurance coverage, perhaps for the first time. Given all the attention to enrollment and coverage due to […]

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  • Publications

    Managing Program Change: Experience From Maximizing Enrollment States in Leadership, Culture Change, Coordination, and Data

    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. Through the course of the program, state teams pursued programmatic change both to realize their own visions for coverage, and to respond to environmental shifts including a recession, elections, and […]

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    December 19, 2013 | Filed under: Eligibility and Enrollment, Publications

  • Publications

    Maximizing Enrollment Minute: Cutting Red Tape to Keep Eligible Families Enrolled in Massachusetts

    Cutting down on required paperwork submissions and increasing the use of electronic income verification in Medicaid and CHIP can reap positive dividends for states, helping them to: eliminate enrollment and renewal barriers, reduce “churning” of individuals losing and regaining coverage, increase administrative efficiencies, reduce costs, and maintain program integrity. In Massachusetts, officials for MassHealth, the […]

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    December 2, 2013 | Filed under: Eligibility and Enrollment, Publications