As the COVID-19 crisis began to take hold, state-based marketplaces (SBMs) were quick to respond to the first nationwide public health emergency since the Affordable Care Act created new coverage options in states. Informed by conversations with seven SBMs that established an SEP—Colorado, Maryland, Massachusetts, Nevada, New York, Rhode Island and Washington—this expert perspective highlights strategies that successfully drove enrollment, including: leveraging their SBM status to quickly and efficiently operationalize customer service in a new remote environment, directly engaging with existing customers as well as reaching out broadly to new ones, and adapting outreach tactics based on new insights regarding audience needs and behaviors to reach them most effectively.
Medicaid Work Requirements/Community Engagement: Federal Activity and State Considerations
At least seven states have submitted 1115 waivers requesting authority to introduce work requirements for some Medicaid beneficiaries, and last week CMS Administrator Seema Verma signaled the administration’s interest in considering proposals that promote community engagement and work activities. In this webinar, the Robert Wood Johnson Foundation’s State Health and Value Strategies (SHVS) program, together with technical assistance experts from Manatt Health, will examine key design considerations for states, including the populations to which work requirements or community engagement may apply; exemptions based on health status or community conditions (e.g. rates of unemployment; access to transportation); definition of work (how many hours per month? Per year? Will school, job training, and volunteer work satisfy a work requirement?); and, use of verification and attestation in determining whether work requirements and community engagement apply and are being met. We also will look at state operational issues including integrating work requirements with a streamlined online, electronic application and renewal process.