Eligibility and Enrollment

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

  • State Health Policy Blog

    Partnering for Kid’s Coverage – It’s Never too Late

    By Carla Plaza July 2013 Over the last couple of years, we’ve heard and learned much about states’ efforts to implement the Affordable Care Act (ACA). However, we have heard less about the continuing efforts and successes of states in covering more children. NASHP’s Children in the Vanguard project, supported by The Atlantic Philanthropies, brought […]

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  • Webinars

    Prioritizing Enrollment Simplification: What States Can Do Now to Make 2014 Easier

    There are several additional simplifications states can implement to improve enrollment and renewals now that will also make it easier down the road. Maximizing Enrollment grantee states have had success with two such strategies. Automated or administrative renewals reduce documentation burdens on those eligible for coverage and allow workers to focus on complicated cases. Express […]

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    March 26, 2013 | Filed under: Eligibility and Enrollment, Webinars

  • State Health Policy Blog

    Hurdles and High Jumps on the Road to Streamlined Enrollment

    By Alice M. Weiss, J.D. February 2013 As states embark on the final stretch before new Patient Protection and Affordable Care Act (ACA) coverage options begin in 2014, most are finding their sprint has turned into more of an obstacle course, with late-breaking guidance posing new hurdles and surprises around every bend. Given all this, […]

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    February 8, 2013 | Filed under: Eligibility and Enrollment, State Health Policy Blog

  • Testimony: ACA Medicaid Requirements & Options for Montana

    Alice M. Weiss Program Director National Academy for State Health Policy Testimony before the Montana Legislature January 14, 2013 affordable.care_.act_.medicaid.requirements.options.Montana.pdf 2.3 MB  

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    January 25, 2013 | Filed under: Eligibility and Enrollment, Videos

  • State Health Policy Blog

    If you build it will they come? Outreach Lessons From CHIP

    By Carla Plaza November 2012 If you build it will they come? If history repeats itself, they will, but not without intentional, focused efforts to reach, assist and enroll individuals and families into health care coverage. Prior to the enactment of the Children’s Health Insurance Program (CHIP), very little emphasis was placed on marketing public health […]

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  • Publications

    New Denial and Disenrollment Coding Strategies to Drive State Enrollment Performance

    Tracking why individuals lose coverage can be a powerful tool for states to understand public coverage programs. This brief makes recommendations to improve the coding of denials and disenrollments suggesting fourteen codes to replace current complex codesets, which in some states number over 100 codes. Streamlining can help states to get a better handle on […]

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