Eligibility & Enrollment

What’s New for the 2025 Plan Year Open Enrollment

As the Affordable Care Act Marketplaces enter their 12th year, enrollment is at an unprecedented high, insurer competition is robust, and four out of five Marketplace enrollees can find a plan for $10 per month or less. This has also been a year of relative stability, without dramatic policy reforms or market disruptions. However, there are several […]

State Momentum, New Tools, Implementation Questions on Multi-Year Continuous Eligibility

CCF and its founders have long raised the opportunity to provide multi-year continuous eligibility for young children in Medicaid and CHIP, and have tracked its progress since Oregon and Washington first proposed the policy for children from birth to kindergarten in 2022. (See our latest map and resources to track state progress for children.) Our […]

CMS Expresses Concern over States with Large Shares of Application Backlogs

Much has been written about the enormous task state agencies have faced as they returned to routine operations during the unwinding of the Medicaid continuous enrollment requirement. While the primary focus (rightfully) has been around renewals and the renewal process, states have other eligibility and enrollment operational responsibilities including processing applications for new applicants or […]

2024 Survey of Medicaid and CHIP Eligibility, Enrollment, and Renewal Policies Shows Gains in Child and Maternal Health Coverage

Highlights of the 2024 Survey of Medicaid and CHIP Eligibility, Enrollment, and Renewal Policies, conducted by KFF and Georgetown CCF, were presented in a webinar today featuring federal and state officials from North Carolina and Ohio. This marks the 22nd annual report on state policies for eligibility, enrollment, and renewal processes, which this year includes […]

Wondering what’s in the recent Medicaid and CHIP eligibility and enrollment rule?

On April 2, 2024, the Centers for Medicare & Medicaid Services (CMS) published the second part of a two-part final rule that simplifies the eligibility and enrollment processes for Medicaid, the Children’s Health Insurance Program (CHIP), and the Basic Health Program (BHP). The rule eliminates certain access barriers for children enrolled in CHIP; makes transitions […]