On November 15, 2023, the Centers for Medicare & Medicaid Services released its proposed 2025 Notice of Benefit and Payment Parameters, the annual regulation which governs core provisions of the Affordable Care Act. This expert perspective focuses on aspects of the proposed rule likely to be of interest to state officials, including requirements for State-Based Marketplaces to align with the standards of the Federally Facilitated Marketplace, proposals for states to update essential health benefits, and initiatives to ease the eligibility and enrollment process for consumers.
2014 Medicaid Eligibility Transition Toolkit for States
National Academy for State Health Policy – Mary Henderson, Abigail Arons, and Alice Weiss
The 2014 Medicaid Eligibility Transition Toolkit is designed to assist states in systematically identifying issues and decisions they will face as they convert to 2014. The toolkit was originally provided to two states by the National Academy for State Health Policy (NASHP) as part of the State Health Reform Assistance Network that is funded by the Robert Wood Johnson Foundation. NASHP has updated the toolkit to be applicable to any state and to reflect the final Medicaid eligibility rules.
The toolkit includes:
Issue Brief: A brief, “Analysis of Eligibility Changes and Implications for Selected Medicaid and CHIP Eligibility Groups in 2014,” provides a detailed overview of the final federal Medicaid eligibility rules, transition issues and decision points that states will spot as they fill out the Eligibility Matrix. The brief is also written to be useful with or without the other components of the toolkit.
Instructions: Step-by-step instructions on how to fill out the Eligibility Matrix.
Blank Matrix: “Crosswalk” matrix for states to fill out (click on the link below)
Example Matrix: A completed matrix for “Sample State A” for reference.