Eligibility and Enrollment

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

  • Webinars

    States Prepare for Medicaid’s Growth Spurt

    By 2019, Medicaid is estimated to cover an additional 16 million of the most vulnerable Americans, significantly increasing the shape and size of the program. On this State Refor(u)m webinar, officials from three states will provide a closer look at what states are doing to prepare. Moderator: Sonya Schwartz, Program Director, National Academy for State […]

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    May 24, 2012 | Filed under: Eligibility and Enrollment, Webinars

  • Publications

    Protecting Low Income Beneficiaries of Medicare and Medicaid in Managed Care

    Volume I: Contracting Arrangements, Beneficiary Choice, Enrollment and Disenrollment, and Tracking These papers were prepared prior to the passage of the Balanced Budget Act of 1997. The Act makes significant changes that will affect managed care programs for dually eligible beneficiaries. However, the specific impact cannot be fully determined until regulations are drafted by HCFA. […]

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    May 2, 2012 | Filed under: Eligibility and Enrollment, Medicaid, Publications

  • Publications

    State Eligibility Rules and Assessment Instruments: Implications for People with Alzheimer’s Disease

    The rising number of people with Alzheimer’s disease presents significant challenges for family members, caregivers, advocates, public policy makers and service providers. Faced with budgetary pressures and concerns about access to care and continuity of care, states are developing managed care programs for elderly Medicaid beneficiaries, reviewing eligibility policies and fine tuning assessment tools used […]

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  • Webinars

    Building an Exchange from the Ground Up: A Conversation with State Health Exchange Directors

    Get to know three exchange directors from three very different states, and hear about their exchange-related accomplishments, challenges, and policy priorities. Find out how exchanges are taking shape in the states, straight from the source. Speakers Susan Dentzer, editor-in-chief of Health Affairs, will moderate this discussion with three exchange directors: Richard Fiore of Alabama Patty […]

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

  • Publications

    Using Data to Drive State Improvement in Enrollment and Retention Performance

    The Maximizing Enrollment program has worked intensively with eight states to help them increase their use of Medicaid and CHIP enrollment and retention data to monitor and improve their performance outcomes. This issue brief presents recommendations from Maximizing Enrollment and Mathematica Policy Research for twelve core measures that states may want to consider implementing as […]

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    December 5, 2011 | Filed under: Eligibility and Enrollment, Publications

  • State Health Policy Blog

    Taking it to the Max: Eight States Improving Enrollment and Retention in Medicaid and CHIP

    Sarabeth Zemel December 2011 This blog post was originally published on State Refor(u)m’s State of Implementation Blog. Earlier this month, eight states gathered in Washington, DC for an annual meeting of grantees of the Maximizing Enrollment program, a Robert Wood Johnson Foundation initiative directed by NASHP that aims to help states improve enrollment and retention […]

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    December 1, 2011 | Filed under: Eligibility and Enrollment, State Health Policy Blog

  • Maxenroll Resource – Promise Story Video: Transforming State Health Coverage in Louisiana

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    November 9, 2011 | Filed under: Eligibility and Enrollment, Videos

  • State Health Policy Blog

    Fostering Productive Dialogue on Health Reform Implementation

    By Catherine Hess May 2011 This blog post was originally published on Health Affairs Grant Watch Blog Catherine Hess of the National Academy for State Health Policy (NASHP) reports on how foundations are supporting efforts to foster dialogue between states and stakeholders during implementation of health reform. Facts, not ideology, should ground discussions was among the […]

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