Eligibility and 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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  • 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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  • Publications

    Consumer Assistance in the Digital Age: New Tools to Help Enroll People in Medicaid, CHIP, and Exchanges

    The Maximizing Enrollment report “Consumer Assistance in the Digital Age: New Tools to Help Enroll People in Medicaid, CHIP, and Exchanges,” focuses on the various ways states can help customers connect to coverage and explores how current consumer assistance will change as new tools are deployed and technology transforms the enrollment process. The paper draws on the experience of states that have advanced children’s coverage […]

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    August 1, 2012 | Filed under: Eligibility and Enrollment, Publications

  • State Health Policy Blog

    Utah’s Eligibility System Leaps into the 21st Century

    By Nicole Dunifon July 2012 This blog post was originally published on State Refor(u)m’s Sate of Implementation Blog Many states are seizing the opportunity to draw down a 90 percent federal matching rate to design and develop new and upgraded Medicaid eligibility systems to support seamless enrollment. To secure the 90 percent match, states must […]

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  • Webinars

    “Reasonable” Flexibility: Exploring Models to Help States Resolve Inconsistencies in Income for Medicaid, CHIP and Tax Credit Eligibility

    For a complete slide presentation, click here. With the recent affirmation by the Supreme Court that the Affordable Care Act (ACA) passes constitutional muster, states will want to accelerate their planning efforts to implement eligibility system provisions under the law for Medicaid, CHIP and Exchanges. This webinar will offer detailed analysis of one of these […]

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    June 19, 2012 | Filed under: Eligibility and Enrollment, Webinars

  • Publications

    The State of the States in Delivering Health Care for Children in Foster Care: Findings of a State Survey

    A 1999 survey of states by the National Academy for State Health Policy sought to examine the specific policies and procedures states have adopted to minimize these barriers and to ensure that the health care needs of children in foster care are met. The survey questionnaire was mailed to both Medicaid and Chief Welfare officials […]

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  • Publications

    Medicaid Eligibility Policy for Children in Foster Care

    According to a 1995 report by the General Accounting Office, the 300,000 children living in foster care are among the most vulnerable children in the U.S. As a group, they are sicker than homeless children and children living in the poorest sections of inner cities. This high level of health care need makes health care […]

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  • Publications

    Medicaid Managed Care Enrollment and Disenrollment: The Experience of Four States

    This report is the final phase of the National Academy for State Health Policy’s contribution to a larger study of Medicaid managed care enrollment and disenrollment, funded by The Pew Charitable Trusts and conducted by Cornell University and Virginia Commonwealth University. It focuses on the enrollment and disenrollment policies and experience of Medicaid managed care […]

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    May 31, 2012 | Filed under: Eligibility and Enrollment, Medicaid, Publications