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.
Marketplace Enrollee Survey Item Matrix – Sample Questions
State Health Access Data Assistance Center
As those interested in conducting surveys to measure the public’s participation and experience in health insurance marketplaces under the Affordable Care Act (ACA) continue to investigate the most effective ways of doing so, access to questions utilized in previously conducted surveys will be very useful. The Marketplace Enrollee Survey Item Matrix (MESIM) was developed by the State Health Access Data Assistance Center (SHADAC) in order to gather these questions in one convenient document. The MESIM is an Excel file with sort and filter functions that allow users to browse or search for pre-existing survey questions related to marketplace use and enrollment. The 246 included questions are drawn from various state, federal, and private surveys, and are organized by domain. The domains include access and provider supply, application pathway, barriers to care, coverage type, health coverage literacy, motivation to enroll, perceptions of quality/satisfaction, reasons for transitions/motivation to enroll, and reasons for uninsurance/intent to enroll among the uninsured.