In light of recent postal delays and housing displacements caused by the COVID-19 pandemic and related economic crisis, and a wave of natural disasters across the country, state Medicaid and Children’s Health Insurance Program (CHIP) agencies face new challenges communicating with their enrollees about their health coverage. Acting now to mitigate these challenges is essential as states are preparing for the end of the public health emergency (PHE) and “catching up” on coverage renewals for a large portion of their enrollees. This expert perspective reviews strategies that state Medicaid and CHIP agencies may consider to help mitigate coverage losses.
Advance Premium Tax Credits and Cost-Sharing Reductions: A Primer for Assistors
Manatt Health Solutions
Advance Premium Tax Credits (APTCs) and Cost-Sharing Reductions (CSRs) remain critical to the ability of marketplaces to offer affordable coverage. It is especially important that marketplace staff, eligibility workers, navigators, certified application counselors, and other assistors are well-informed regarding the role of APTCs and CSRs in the continuum of coverage created by the Affordable Care Act. While there are numerous regulations explaining how APTCs and CSRs work, much of this information is very technical. This brief, prepared by Manatt Health Solutions, is designed to make it easier to understand APTCs and CSRs at a deeper level. Information provided in this brief includes eligibility criteria, options for using APTCs and a discussion on how the APTC is calculated, and a detailed review of the income measure used to evaluate eligibility.