Eligibility Simplification
Simplified and aligned eligibility criteria will help ensure initial eligibility and continuous coverage for consumers across programs and plans.
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documents related to this topic
Tricia Brooks "Say Aah" Blog with Link to CCF/KFF Eligibility Reportview- Getting into Gear for 2014: Findings From a 50-State Survey of Eligibility, Enrollment,Renewal and Cost-Sharing Policies in Medicaid...view
Coordination of Eligibility and Enrollment Between Medicaid/CHIP and the Exchangedownload- Eligibility and Enrollment Systems: Advocate's IT Toolkitdownload
- GAO Report on Medicaid Expansiondownload
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- State Refor(u)m
District of Columbia
Contact - Kaitlin Sheedy
District of Columbia
Contact - Alex Alonso
District of Columbia
Contact - Kevin Cornell
Washington
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Washington
Hi Alex,
Sorry it's taken so long for me to respond. Washington has continuous eligibility for children in Medicaid/CHIP so we won't have the same challenges that you do in D.C. We're working right now on developing an income reporting standard for adults to report changes. When I have something more concrete on this I'll pass it along to you.
District of Columbia
How are other states handling the flexible reporting threshold under 45 C.F.R. 155.330(b)(3)? We cover children in Medicaid up to 300% FPL are concerned about mixed households where the children are in Medicaid and the parents are receiving APTC. We don’t necessarily want two different reporting thresholds for Exchange versus Medicaid. Also, given our high income threshold, have chosen not to do continuous eligibility for children.
District of Columbia
Ohio Medicaid will expand presumptive eligibility for Medicaid to pregnant women and allow
certain qualified providers—federally qualified health centers (and look-alikes), children’s
hospitals and other providers—to perform a simplified check and grant immediate medical
assistance to both children and pregnant women. Ohio will begin testing the enhanced
presumptive eligibility program this month at Nationwide Children's Hospital in Columbus,
MetroHealth System in Cleveland and the Community Action Committee of Pike County, with
implementation statewide by January 2013.
District of Columbia
On May 21, 2012, the University of Massachusetts Medical School issued a request for response for Independent Verification and Validation (IV&V) services for a Health Insurance Exchange and Integrated Eligibility System. Responses are due by July 6, 2012.
District of Columbia
Rhode Island issued a Request for Proposals to procure one or more vendors to design, implement, and operate a technology platform to support both new and existing health insurance initiatives under the ACA which includes providing hosting services for the state’s health benefits exchange and integrated eligibility system. The integrated technology program will support the Exchange and Medicaid as well as some other human service programs in the state.