Milestone: Establish a plan for integrated enrollment systems among Medicaid, CHIP, and federal tax credits
Achieving integrated eligibility systems necessitates that states determine what approaches and steps they will take to make seamless enrollment connections among state health subsidy programs.
*Milestone details:
*Full name: Establish a plan for integrated enrollment systems among Medicaid, CHIP, and federal tax credits.
*Relevance to the ACA:
The ACA requires the development of an integrated enrollment system among Medicaid, CHIP, and federal tax credits. This system must be consumer-friendly, simple and seamless, and technologically advanced, utilizing a single application with multiple application methods for enrollment into all health subsidy programs. Provisions relevant to integrated enrollment systems include:
§1401 – Requirements for determining tax subsidies for individuals purchasing insurance through Exchanges, including use of modified adjusted gross income (MAGI).
§1413 – Required streamlining procedures for enrollment, including a single application form and data matching arrangements among state agencies.
§2002 – Eligibility determination for Medicaid using MAGI.
§2101 – Eligibility determination for CHIP using MAGI.
§2201 – Requires an enrollment website that allows comparisons of benefits, premiums, and cost-sharing across Medicaid, CHIP and Exchange plans, and enrollment in the appropriate program through one application.
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District of Columbia
This presentation discusses the impact of the ACA on Medicaid, identifies implementation priorities, potential challenges, and impending decisions for the state’s Medicaid program, including operational challenges timing issues and transforming the eligibility process.
Access the presentation here:
http://www.statereforum.org/sites/default/files/eligibility_transformati...
District of Columbia
This report details the activities of the Coverage Expansions for Iowa Care, Medicaid, and High Risk Pools Workgroup of the Legislative Health Care Commission to date, including the meetings held over the course of the year. It also includes recommendations made by the group, including many on Medicaid eligibility, IT systems, and the integration between the exchange and Medicaid.
Access the report here:
http://www.statereforum.org/sites/default/files/ia_care_expansion_workgr...
District of Columbia
The Iowa Legislative Health Care Coverage Commission presented 18 recommendations to General Assembly regarding implementation of the ACA. Highlights include planning for a new eligibility system to support Medicaid, CHIP, implementing a number of cost-containment strategies, and establishing an operational insurance information exchange by July 1, 2011.
Access the presentation here:
http://www.statereforum.org/sites/default/files/final_2010_comm_recommen...