Eligibility and Enrollment

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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  • 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

  • Publications

    From Percolator to Espresso Machine: Eligibility System Transformation Lessons from the Maximizing Enrollment Project

    In this eBook, state experts discuss the latest strategies to help eligible individuals enroll in and keep public coverage. Since 2009, states participating in the Maximizing Enrollment program have worked to revamp cumbersome, paper-driven enrollment processes and modernize eligibility systems and policies in advance of the changes required by the Affordable Care Act (ACA). This […]

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    November 22, 2013 | Filed under: Eligibility and Enrollment, Publications

  • Publications

    Maximizing Enrollment Utah State-to-State Exchange

    The topic of this meeting will be using innovative technology in eligibility and enrollment. We are looking forward to seeing in person their E-Find and MyCase systems as well as their use of online chat and text messaging to communicate with applicants and enrollees. Click for the eBook 7.6 MB  

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    November 21, 2013 | Filed under: Eligibility and Enrollment, Publications

  • Webinars

    State Experience with ACA Open Enrollment: Early Successes and Lessons

    Individuals and families began to explore options and enroll in coverage through the Affordable Care Act (ACA) on October 1, 2013. States now have nine weeks of experience with open enrollment under their belts and can share early lessons learned in what worked and what did not, and managing the rough spots. During this Maximizing […]

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    November 8, 2013 | Filed under: Eligibility and Enrollment, Webinars

  • State Health Policy Blog

    How Do I Enroll Thee? Let States Count the Ways…

    By Alice Weiss November 2013 While open enrollment for health insurance exchanges is well underway, major changes to enrollment processes won’t begin for all states until January 1, 2014, when the Affordable Care Act’s Medicaid and Children’s Health Insurance Program (CHIP) eligibility requirements go into effect.  These new requirements, like the “no wrong door” enrollment […]

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    November 6, 2013 | Filed under: Eligibility and Enrollment, State Health Policy Blog

  • Publications

    Strategies for Coordination Between Medicaid and Ryan White HIV/AIDS Programs

    State Medicaid programs are the primary source of health coverage for the majority of people living with HIV/AIDS (PLWHA) in the U.S. Coordination between Medicaid and Ryan White HIV/AIDS Programs (RWHAP) is integral to ensuring that PLWHA have access to comprehensive care. NASHP interviewed Medicaid and RWHAP officials in 14 states about successful coordination efforts. […]

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  • Publications

    Coordinating Medicaid Eligibility and Enrollment with a Federally Facilitated Marketplace: Assessment vs. Determination Model

    States with Partnership or Federally Facilitated Marketplaces (FFM) are coordinating closely with the federal government on Medicaid eligibility and enrollment. Each state Medicaid agency has chosen whether the Marketplace will only assess, or whether it will also determine Medicaid eligibility for individuals who apply through the Marketplace. This brief outlines the responsibilities of the FFM […]

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    October 30, 2013 | Filed under: Eligibility and Enrollment, Publications

  • Webinars

    All Hands on Deck: State Plans for Consumer Assistance

    States are currently mobilizing their efforts to provide assistance to individuals who will be able to enroll in coverage through the health insurance exchanges beginning in October. All exchanges will offer some level of enrollment assistance through Navigator, or in some case, In-Person Assistance (IPA) programs, as well as support provided by certified application counselors, […]

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    August 20, 2013 | Filed under: Eligibility and Enrollment, Webinars

  • Publications

    Harnessing Technology to Streamline Enrollment: Experiences from Eight Maximizing Enrollment Grantee States

    Since 2009, eight states participating in the Robert Wood Johnson Foundation’s Maximizing Enrollment program have worked to streamline eligibility and enrollment systems for children and those eligible for coverage in 2014. These states’ use of technology to support application and renewal simplifications, customer interfaces, system functioning, and workflow management have paved the way for many […]

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    July 26, 2013 | Filed under: Eligibility and Enrollment, Publications