Eligibility and Enrollment

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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  • State Health Policy Blog

    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

    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

    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

    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

    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

    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

    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

    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

    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