Health care coverage helps children show up for school ready to learn and provides parents with the peace of mind of knowing they can afford to get their children the care they need to succeed. Sadly, many of America’s children are going without affordable coverage even though they are eligible for Medicaid or CHIP but […]
For the most part, the Affordable Care Act aligns the way that Medicaid determines eligibility based on the same Modified Adjusted Gross Income (MAGI) rules used to determine eligibility for financial assistance in the Marketplace. But there are exceptions in Medicaid as I outlined in this blog. The differences can mean that an individual is […]
Eligibility decisions made in real-time or overnight when someone submits a Medicaid application? Automated determinations of ongoing eligibility at renewal without requiring enrollees to fill out forms or send in paperwork? It wasn’t too long ago that many Medicaid stakeholders would have thought those were pie-in-the sky notions. Yet, thanks to new high-performing eligibility systems […]
By Ben Koller, Community Catalyst Last month, children’s health advocates and experts from around New England gathered for the New England Alliance for Children’s Health’s (NEACH) annual Children’s Health Care Summit. NEACH, an initiative of Community Catalyst, is a broad-based coalition of health advocates, providers, and legal experts dedicated to improving children’s access to high-quality, […]
Although final publication of the 90/10 rule – providing generous, enhanced federal funding for Medicaid eligibility and enrollment systems – doesn’t quite bring the surprise of opening an unexpected holiday gift, it is still gives us many reasons to celebrate. If CMS had allowed the enhanced funding to expire as initially planned, states would have […]
As I blogged about last week, our recent report with co-authors at the Kaiser Commission on Medicaid and the Uninsured looked at wrapped benefits and how they are working in selected Section 1906 premium assistance programs. The most startling discovery to me was the finding that families have no cost-sharing protections in the programs we […]
