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.