Eligibility and Enrollment

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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  • Publications

    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

    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

    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

    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
  • 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

    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

    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

    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

    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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