Eligibility & Enrollment

How Milwaukee Won the White House Healthy Communities Challenge

In November, the White House launched a “Healthy Communities Challenge” and identified twenty cities with large numbers or high percentages of uninsured individuals to compete in enrolling new people in plans during OE3. Through this challenge, communities made concentrated efforts to reach remaining uninsured individuals and helped connect them to coverage. Good news and hearty […]

EPSDT: A Primer on Medicaid’s Pediatric Benefit

Children enrolled in Medicaid are entitled to a comprehensive array of preventive and ameliorative care through the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit. Beyond the indecipherable acronym, EPSDT is a critically important benefit that is broadly recognized as the definitive standard for children. We’ve broken down the acronym in this fact sheet, […]

One More Chance to Comment on SBC Changes

Originally posted on the CHIRblog. Last week, the Departments of Health and Human Services, Treasury and Labor released a proposed revised template for the Summary of Benefits and Coverage (SBC), giving the public 30 days to comment before these long-coming changes are finalized. The process for implementing changes to the SBC template began in December […]

Getting Enrollment Right for Immigrant Families

The Affordable Care Act (ACA) has yielded impressive progress in reducing the ranks of the uninsured, with more than 12 million people covered by the health insurance marketplaces alone. However, meeting the goal of enrolling the remaining seven million people who are eligible for marketplace coverage but are still uninsured— even after the third open […]