Back in May, Martha Heberlein wrote about 5 strategies that CMS is offering to help states face the task of enrolling large numbers of people on January 1, 2014. One of these strategies, 12-month continuous eligibility for adults, is key to improving the continuity of Medicaid coverage, according to a paper published by the Association […]
By Wesley Prater As Tricia Brooks highlighted in her previous blog, CMS recently released a set of FAQs to provide more guidance on telephonic applications, MAGI-based eligibility, Medicaid and CHIP eligibility, and the 75/25 Federal matching rate. The FAQs included more guidance about the transition of children ages 6-18 up to 133% of the FPL […]
As we have blogged before we were hoping that CMS was going to prohibit states operating separate state CHIP program from imposing waiting periods for children. But they didn’t, and the choice continues to fall squarely in the state’s purview. Last week we learned that two more states, Nevada and West Virginia, are now moving […]
“No wrong door,” a phrase coined to explain access to all the insurance affordability programs (Medicaid, CHIP and subsidized coverage through a Health Insurance Marketplace) through a single application process, is also often used to describe the different paths to enrollment. Beginning October 1, 2013, states are expected to allow individuals to apply online, over […]
Among many other provisions, the Affordable Care Act (ACA) gives hospitals the prerogative to make Medicaid presumptive eligibility (PE) decisions, regardless of whether the state has previously implemented PE. Presumptive eligibility allows states to train specific “qualified entities,” such as health care providers, schools, government agencies and community-based organizations, to screen for eligibility and temporarily […]
By Wesley Prater The Affordable Care Act is most widely recognized for its expansion of affordable coverage to low-income parents and adults; however, a lesser-known feature of the ACA also helps children by aligning Medicaid coverage across families at 133% of the federal poverty level (FPL). Today, states must cover children under the age of […]
