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.
Analysis of Federal Statutory and Regulatory Eligibility and Enrollment
Manatt Health Solutions
The following chart, prepared by Manatt Health Solutions, with support from the State Network, summarizes the federal statutory and regulatory eligibility and enrollment requirements for Medicaid using the Modified Adjusted Gross Income (MAGI) methodology, CHIP, Non-MAGI Medicaid, Temporary Assistance for Needy Families (TANF), Child Care Assistance Program and Supplemental Nutrition Assistance Program (SNAP). This analysis highlights points of alignment and meaningful differences across all six programs. A summary document that reflects further detailed analysis can be found here.
Many states are considering the legal, technical, and operational implications of integrating their eligibility determinations for Medicaid and CHIP under MAGI with eligibility determinations for other means tested programs such as TANF, child care, SNAP and Non-MAGI Medicaid. Despite the many shared eligibility requirements across the six programs there are a number of requirements that are distinct to one or several of the programs that create a barrier to full alignment. Ultimately, development of a multi-benefit application offers states the opportunity to evaluate, streamline and simplify eligibility and enrollment rules for its public benefit programs.