In recent months, states have increasingly introduced proposals for individuals above Medicaid eligibility levels to “buy-in” to Medicaid or leverage the Medicaid program to strengthen coverage across the individual market and Medicaid. State Health and Value Strategies is tracking current state activity and has mapped out which states are pursuing a program and those that are establishing task forces to understand the impact of a Medicaid buy-in program.
Laying the IT Foundation for 2014: Developing Infrastructure for Improved Eligibility and Enrollment Systems
National Academy for State Health Policy- Lynn Dierker; HealthTech Solutions – Sandeep Kapoor
One of the biggest challenges – and opportunities – for states as they strive to implement the Affordable Care Act’s (ACA) coverage expansions is the size and scope of technology solutions required to support exchanges in making eligibility determinations and enrolling consumers in coverage. This webinar provided insight into the latest federal guidance on information technology (IT) systems development and the impact it has on developing state IT infrastructure capable of meeting the high expectations and demand of seamless, real-time eligibility and enrollment under the ACA. The slides consider a number of key implementation issues, including the intersection of business and IT processes, the ability of new systems to integrate with existing legacy systems (e.g., Medicaid management information systems), governance, enterprise architecture and system financing.