Enrollment Assistance

CMS Plans Major Upgrade to Faulty Account Transfer Process Between the Federal Marketplace and State Medicaid Agencies

Last week CMS announced plans to replace the technology and processes used to coordinate eligibility and enrollment through electronic accounts between the federal marketplace (healthcare.gov) and states that use the federal platform. The account transfer (AT) process, although riddled with glitches, has been in place since the Affordable Care Act’s coverage expansions began in 2014. […]

Tricia Brooks

October 17, 2024

How States Can Use Tax and Unemployment Filings to Sign People Up for Health Insurance

This spring, as millions of people prepared their taxes, an increasing number of states were using the tax-filing process to connect those who are eligible but uninsured with comprehensive, affordable health insurance. These “easy-enrollment programs” allow filers to check a box on forms they file with the state (e.g., income tax returns) to indicate that they […]

Guest

July 15, 2024

Social Media: A Critical Tool for States to Leverage as Unwinding Winds Down

It is no secret that social media is one of the most powerful tools state Medicaid and CHIP agencies can employ when attempting to reach out to eligible individuals. Over 70% of adults ages 18–64 use at least one social media site, and targeted outreach on these platforms could help spread the word about programs […]

Hannah Green, Natalie Lawson June 6, 2024

Child Medicaid Disenrollment Data Shows Wide Variation in State Performance as Continuous Coverage Pandemic Protections Lifted

Download the Full Report (PDF) Background During the COVID-19 public health emergency, states received increased federal Medicaid matching rates in exchange for a commitment to maintain continuous coverage for those enrolled in Medicaid. With the public health emergency winding down, as part of the Consolidated Appropriations Act (CAA), 2023, Congress ended the continuous coverage requirement […]

Joan Alker, Aubrianna Osorio, Tricia Brooks, Edwin Park May 2, 2024

Latest Data Show Marketplace Enrollment Rate Up Slightly Among Those Losing Medicaid Coverage During Unwinding

As readers of Say Ahhh! know, I have been tracking monthly data (here, here, here, here and here) from the Centers for Medicare and Medicaid Services (CMS) on the number of people who were either previously enrolled in Medicaid or had experienced a denial or termination who then selected a marketplace plan. At the end […]

Edwin Park

January 8, 2024

Transitional Medical Assistance (TMA) and the Unwinding

Late last month, CMS released long-awaited guidance on Medicaid coverage for low-income working parents in the context of the unwinding of continuous coverage. Technically, this coverage is a mandatory eligibility category known as transitional medical assistance, or TMA, because it was originally designed to help parents transition from Medicaid to private insurance coverage through the […]

Andy Schneider, Allexa Gardner December 19, 2023