Last week, the 2016 federal poverty levels (FPL) were published in the federal register. How does this impact consumers applying for coverage through the Marketplace, Medicaid or CHIP? Let’s start with eligibility for Marketplace subsidies. For 2016 calendar year coverage, regardless of when someone applies or enrolls, eligibility is based on the 2015 FPL levels. […]
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 […]
The Affordable Care Act has dramatically increased the pace at which the uninsured rate is falling for Hispanic children. Yet Hispanic children are more likely to be uninsured than other children, making them vulnerable to going without health care and leaving their families exposed to financial risk. Given the high rates of uninsurance among Hispanic children, policymakers, […]
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 […]
With the third open enrollment period firmly underway, assisters are racing to get eligible people covered, including many families with one or more immigrant member whom are often among the most complicated cases assisters see. Since nearly half of all uninsured children in America live in families with at least one immigrant member, enrolling families with […]
