The unwinding related section 1902(e)(14) strategies newly available to Medicaid and CHIP agencies can provide significant relief to states facing pending eligibility and enrollment actions and processing delays, workforce and systems limitations, and other operational challenges. Ensuring eligible individuals do not lose coverage for procedural or administrative reasons and supporting those who are ineligible for Medicaid/CHIP transition to Marketplace coverage will be paramount for all states as they begin to resume normal operations when the federal public health emergency (PHE) ends. This expert perspective outlines the time-limited targeted enrollment flexibilities that CMS has availed to states through section 1902(e)(14) waiver authority and discusses considerations beyond the strategies described in federal guidance and supplemental resources.
Exchange Implementation Workplan
Manatt Health Solutions – Deborah Bachrach
November 16th, 2012 is the deadline for submission of the Blueprint application that certifies states to operate a State Based Exchange (SBE) or State Partnership Exchange. In order to aid states in achieving SBE certification, Manatt Health Solutions with support from the State Network, developed this document which identifies critical SBE implementation tasks. The workplan is organized according to the major areas of Exchange certification articulated in the Draft Blueprint for Affordable State-based and State Partnership Insurance Exchanges released by the Department of Health and Human Services in May 2012. The document also reflects those tasks that are central to achieving certification of a Partnership Exchange in the areas of plan management and consumer assistance, based on the Blueprint guidance. Finally, the workplan notes where specific tasks are conditions for a state’s ability to obtain Exchange establishment funding.