Eligibility & Enrollment
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Performing Under Pressure: Annual Findings of a 50-State Survey of Eligibility, Enrollment, Renewal, and Cost-Sharing Policies in Medicaid and CHIP, 2011-2012
Amid ongoing state budget pressures, a requirement in the Affordable Care Act (ACA) that states maintain eligibility in Medicaid and CHIP was central in preserving coverage during 2011. In addition, more than half of states (29) made improvements in their programs. Most of these improvements involved greater use of technology to boost program efficiency and…
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Essential Health Benefits: A Child’s Perspective
As soon as rumors started flying about what would be in the essential health benefits guidelines I thought hmmmm that sounds a lot like CHIP. At first blush the new guidance does sound like the CHIP model – indeed the guidance says as much (p. 8). But as HHS officials and others have pointed out,…
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Improving Coverage for Children Under Health Reform Will Require Maintaining Current Eligibility Standards For Medicaid and CHIP
When the Affordable Care Act of 2010 is fully implemented, it will extend health insurance coverage to many adult Americans who currently lack it. It is not known, however, how the health reform legislation will affect children and parents who would otherwise be uninsured. Based on this analysis, health reform has the potential to cut…
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Despite Economic Challenges, Progress Continues: Children’s Health Insurance Coverage in the United States from 2008-2010
In this paper, health insurance data from the Census Bureau’s annual “American Community Survey” was analyzed in order to get a more accurate depiction of children’s coverage. Even though the number of children living in poverty has increased almost 19 percent over a three-year period, the number of children without health insurance declined 14 percent–…
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Comments on Proposed Medicaid, CHIP, and Exchange Eligibility Rules
CCF comments on the proposed rule that implements sections of the ACA related to Medicaid and CHIP eligibility, enrollment simplification, and coordination.(Federal Register, 76: 51148-5199). CCF comments on the proposed rule on eligibility determinations for Exchange participation and insurance affordability programs and standards for employer participation in SHOP. (Federal Register 76: 51202- 51237). CCF addendum…
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Major Implications for Children and Families of the Proposed Affordable Care Act Rules on Eligibility and Enrollment Systems
On August 17, 2011, the Obama Administration published three proposed rules in the Federal Register relating to the eligibility and enrollment of individuals into health coverage under the Affordable Care Act (ACA). Taken together, they offer a comprehensive blueprint of how the Administration is proposing to implement the provisions of the ACA aimed at ensuring…
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How Has Arizona’s CHIP Enrollment Freeze Impacted Kids?
The state of Arizona was hit especially hard by the recession and responded by imposing the largest spending cuts in the state’s history. Among these was a freeze in KidsCare, the state’s Children’s Health Insurance Program (CHIP). Arizona remains the only state with an enrollment freeze in place and a new report we just released…
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Census Data Provide Disturbing Snapshot of Economy’s Toll on Children and Families
Georgetown University Health Policy Institute Center for Children and Families Co-Director Joan Alker issued the following statement in response to the release of the U.S. Census Bureau’s Income, Poverty and Health Insurance Coverage in the United States (2010) report: “The census data released today provided a very disturbing snapshot of the economic…
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The Arizona KidsCare CHIP Enrollment Freeze: How Has it Impacted Enrollment and Families?
On December 21, 2009, Governor Jan Brewer of Arizona imposed an enrollment freeze in the state’s CHIP program, KidsCare. It is currently the only state in the country with a freeze in place. As of July 15, 2011, there were over 108,000 children on the waiting list for KidsCare coverage, which continues to grow at…
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GAO Looks At Access to Care for Children Covered by Medicaid & CHIP
By Wesley Prater The GAO recently released a report on access to care for children covered by Medicaid and CHIP. The researchers surveyed specialty care physicians and rural and urban area primary care physicians to examine Medicaid and CHIP enrolled children’s access to both primary and specialty care. The GAO report, required under CHIPRA, also looked…
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Medicaid and its Role for Children and Youth with Special Health Care Needs (CYSHCN): A Family Perspective
The nation’s children have a lot at stake in the ongoing federal and state level debates over Medicaid’s role in deficit reduction efforts. Children and youth with special health care needs (CYSHCN) are most vulnerable to Medicaid cuts because so many rely on it. Approximately 14% (10.2 million) of children meet the criteria of having…
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Understanding Florida Medicaid Today And the Impact of Federal Health Care Reform
Sound information on Florida’s Medicaid program is especially timely because of the passage of the Affordable Care Act (ACA), which will move more low-income people into Medicaid by expanding eligibility levels in 2014. The highly politicized nature of the debate about Medicaid and health reform has lead to some exaggerated state estimates of Florida’s cost…
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Eliminating Medicaid and CHIP Stability Provisions (MoE): What’s at Stake for Children and Families
The stability in Medicaid and CHIP can be directly attributed to the short-term fiscal relief and the federal requirements that states maintain their eligibility rules and enrollment procedures until broader health reform is implemented. If the stability provisions are rescinded, states could eliminate Medicaid for anyone who is covered at state option, as well as…
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Medicaid and CHIP Stability Protections: Consequences of Repeal
In the past few years, Medicaid and CHIP (Children’s Health Insurance Program) coverage for low-income children and families facing job loss, seniors in need of health and long-term care services, and people with disabilities has held remarkably steady. This is because the Recovery Act and the Affordable Care Act (ACA) have ensured that states do…
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Holding Steady, Looking Ahead: Annual Findings of a 50-State Survey of Eligibility Rules, Enrollment and Renewal Procedures, and Cost Sharing Practices in Medicaid and CHIP, 2010-2011
Over the past year, as the nation’s attention was focused on the country’s economic problems and the debate over the passage of broader health care reform, Medicaid and the Children’s Health Insurance Program (CHIP) continued to play their vital role of providing coverage to millions of people who otherwise lack affordable coverage options. In 2010,…
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Medicaid Matters: Ensuring a Strong Pediatric Benefit for Kids in Medicaid
Last week I attended a meeting of a new EPSDT Working Group convened by Cindy Mann, Deputy Administrator of CMS and top dog at Medicaid and CHIP. EPSDT stands for Early Periodic Screening Diagnosis and Treatment – Medicaid’s comprehensive benefit for children — the definitive standard of pediatric care recommended by the American Academy of…
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Comments Sought on CMS Proposal to Pay 90% Match on Medicaid Eligibility Systems
By Jocelyn Guyer As I was having a “chat” with my husband earlier this week about who was supposed to have come up with a dinner plan, I started thinking about the similarities between married life and health care reform implementation. (Well, to be honest, this wasn’t my very first thought when I came home…
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Waiver Watchers – We Need You More Than Ever
One of the consequences of the election, I believe, is that given the significant number of opponents of health care reform who were elected as Governors and/or Insurance Commissioners, we are going to see more “waiver” proposals. Even before the election, Senator Orrin Hatch (R-UT) was talking up the prospect of seeking legislation to allow…
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CCF Comments to NAIC on Exchange Coordination with Medicaid and CHIP
CCF Comments to NAIC on Exchange Coordination with Medicaid and CHIP
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The New Responsibility to Secure Coverage: Frequently Asked Questions
The Patient Protection and Affordable Care Act (PPACA) includes a much-discussed requirement that people secure health insurance coverage for themselves and their children. This “individual responsibility requirement” is an essential element of the new law, which will play a vital role in increasing the number of people with health insurance and make it possible to…