Eligibility Documentation
The utilization of modern technologies and systems integration can reduce the paperwork burden associated with eligibility systems, simplifying the process for consumers and state agencies.
*Milestone details:
*Full name: Use technology and systems solutions to eliminate unnecessary paper-based processes.
*Relevance to the ACA:
The ACA’s requirements for state eligibility and enrollment systems necessitate that they be modern and technologically advanced. Provisions relevant to reducing the paper-based process include:
§1413 – Requirements for a single application form for multiple programs, developed by the Secretary or a state; requirement that applicants do not need to submit further documentation unless an inconsistency is found between their information and the electronic data; and requirements for state use of data matching to determine eligibility.
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Missouri
Is there a resource for accessing each state's verification plan? Will these be public?
District of Columbia
A new Kaiser Family Foundation case study highlights South Carolina's recent efforts to utilize data and technology to identify potential simplifications to its Medicaid enrollment process.
View the case study here: http://www.kff.org/medicaid/quicktake_using_data.cfm.
District of Columbia
SHADAC recently highlighted Iowa's efforts to collect necessary eligibility information via tax forms to decide which children had family incomes that met the Medicaid and CHIP requirements but were not enrolled in these programs.
District of Columbia
CMS released the Medicaid Information Technology Architecture (MITA) Framework, final version 3.0. MITA fosters an integrated business and IT transformation across Medicaid in an effort to improve the administration and operation the program. This version takes into account the availability of new technologies and new legislative requirements outlined in the ACA, and adds a section to assist states in the preparation of the State Self Assessment and Advanced Planning Documents which states use to obtain Federal funding to support new IT systems.
The MITA 3.0 Framework can be reviewed on CMS’ Web site at http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Data... Systems/Medicaid-Information-Technology-Architecture-MITA.html.
District of Columbia
Visit our latest blog entry about Oklahoma's real-time Medicaid eligibility and enrollment system. What do you want to learn from Oklahoma’s experience? What questions do you have for Oklahoma? Post your thoughts by clicking the “post new comment” button at the bottom of the page:
http://www.statereforum.org/blog/oklahoma-online-enrollment
District of Columbia
HMS is very focused on helping Exchanges overcome the challenges that can be associated with performing electronic eligibility verifications. Please see our recent issue brief on this issue.
http://www.hms.com/docs/whitepapers/Enroll%20America%20Eligibility%20Ver...
District of Columbia
Priscilla Caverly posted New Mexico's RFP and appendices for HIX IT services here: http://www.statereforum.org/node/3223#comment-9387.
Please note that the official RFP documents are posted on the New Mexico General Services Department website.
District of Columbia
Enroll America published a new issue brief today, "The Ideal Application Process for Health Coverage" which explains the key steps in a streamlined application process and why they promote robust enrollment. We find that it's important to ground our work on the back-end processes and consumer assistance offerings with a unified, simple vision for how the consumer should experience the front-end application process. We hope other states and organizations find this vision helpful, too.
District of Columbia
NGA's Center for Best Practices recently hosted a webinar for states and federal agencies to discuss opportunities to streamline and simplify eligibility requirements for human service programs to align with Medicaid and other Insurance Affordability Programs to promote horizontal integration among programs. NGA's webinar, “Opportunities for Coordinating Health Care and Human Services Enrollment under the Affordable Care Act (ACA),” features a presentation from Stan Dorn of Urban Institute and speakers from state and federal agencies. The webinar was held on Monday, January 9th, 2012.
They have kindly posted and are sharing the PowerPoint presentation and the audio recording of the webinar at the following links:
http://www.subnet.nga.org/downloads/DornPresentationRevised.pdf
http://media.nga.org/2012/Wellspring01092012.mp3
Thought these would be of interest to a number of states as many of you are considering opportunities to simplify and integrate enrollment across health and human service programs.
If you have any questions about the webinar, please contact Alex Cawthorne at the NGA Center for Best Practices Economic, Human Services and Workforce Division at acawthorne@nga.org.
Connecticut
MCSD shifts paper-based processes to document management, interactive voice response, web-page at the front end and automated case flow in the back-end through appropriate service chains.
Colorado
Colorado has taken multiple steps in streamlining the application process for Medicaid and our CHPRA program.
We have implemented interfaces with SSA and the Colorado Department of Labor and Employment that can eliminate the need for applicants to supply paper documents to verify income, U.S. citizenship and identity and have implemented Express Lane Eligibility through the School Lunch Program.
District of Columbia
Utah's online Medicaid application system, myCase, allows potential enrollees to apply, renew, make changes, and check the status of their applications on line. This presentation by Barbara Hollister describes the impact on enrollees and agency staff.
District of Columbia
Virginia continues to use technology to streamline enrollment systems. This October 2011 presentation by Rebecca Mendoza highlights some recent developments, including telephonic signatures, that help reduce paper applications.
Louisiana
This is the presentation that I made at the CMS Eligibility Conference regarding Simplifying Renewal Processes.
District of Columbia
I just wanted to share one of Enroll America's first publications, which features Utah's eFind system. Electronic third-party data systems have the potential to dramatically streamline the enrollment process for both states and consumers.
Check out our website for more about who we are and what we do: www.enrollamerica.org
Massachusetts
Massachusetts, through work on the Robert Wood Johnson Foundation's Maximizing Enrollment Grant, has done a great deal of work in eliminating unnecessary paper-based processes. Attached is a presentation given by Robin Callahan, Director of Member Policy and Program Development at the MA Office of Medicaid, at a NASHP National Briefing in December of 2010. This presentation outlines some of the steps MA has taken and continues to take to use technology and systems to eliminate unnecessary processes.
Maryland
Slide presentation for Maximizing Enrollment on HIT implications of Medicaid eligibility expansions, Exchanges and HIE that leverages HIT through HIE funding and Medicaid funding for a "horizontal" approach to infrastrastructure
District of Columbia
Alabama has had great success in implementing express lane eligibility and making other simplifications. This slide presentation documents these successes and outlines plans for the future.
California
This RFP will be used to select a vendor to supply new Medicaid eligibility determination software.
California
This presentation discusses Oklahoma’s SoonerCare program (Medicaid) efforts around online enrollment for health programs. Access the presentation here: http://www.statereforum.org/sites/default/files/ok_coordinatingelig.pdf
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