In this week’s release of the Exchange/Medicaid IT 2.0 guidance, the Centers for Medicaid and Medicare Services (CMS) firmly squashed speculation that states will need to operate a “shadow eligibility system” for determining who is newly eligible for Medicaid and therefore qualifies for 100% federal funding. Future federal rulemaking is expected to propose other methods […]
Presumptive eligibility is a state policy option that gives states the flexibility to train health care providers, schools and other community-based organizations and programs to screen eligibility and temporarily enroll eligible persons in Medicaid and CHIP. Currently 31 states use presumptive eligibility for pregnant women and 16 states enroll children presumptively. The following issue brief […]
Remember driving an older model car that generally got you from point A to point B but not without stalling at a traffic light or having the heater cut out in the dead of winter? That‘s a bit like the old, tired legacy systems currently being used to determine eligibility for Medicaid (and other programs) […]
Mobile Technology: Smart Tools to Increase Participation in Health Coverage.
Today, families in need of child care assistance, health coverage and food assistance often have to apply to three different agencies, providing pretty much the same information and documents to each of them. All the while, different eligibility workers handle this information to determine the family’s eligibility separately for each program. Placing such redundant and […]
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, […]
