People who are eligible for Medicaid or CHIP in their state do not qualify for premium tax credits (or cost-sharing reductions) to help pay for a qualified health plan (QHP) in either a state-based exchange or the federally-facilitated marketplace (FFM). When someone applies for coverage through the FFM in the 34 states that are not […]
Even as states across the country continue to evaluate their options for implementing the Affordable Care Act (ACA), almost all states are moving to take advantage of significant federal funding to modernize their Medicaid information technology (IT) infrastructures in response to the new law. The decisions being made now and in the months ahead will […]
With new high-performing IT systems, states will be able to use cost-effective, trusted and secure electronic data sources to verify eligibility including income, citizenship, immigration status, and other criteria. States have some discretion in how they verify eligibility (i.e. what data sources they use) but they cannot require individuals to provide documentation or more information […]
I frequently marvel at the deep Medicaid and CHIP policy expertise of so many of our state and national partners. And when someone’s knowledge doesn’t run as deep, they often make up for it in their passion for expanding health care coverage. Whether you’re a seasoned advocate or new to public health coverage, it doesn’t […]
Efforts to improve public coverage programs have long been stymied by the prevalence of outdated IT systems that are the source of numerous consumer issues from confusing and conflicting notices to lost eligibility records to inadequate data to measure program performance. Meanwhile the state of technology and web-based services has advanced significantly, leaving many Medicaid […]
