In the absence of federal legislation, states are actively seeking tools to reform their health care systems. While 1115 waivers rightly get a lot of attention, because of their ability to reshape state Medicaid programs, the Affordable Care Act’s Section 1332 waivers continue to be a promising avenue for states to stabilize their health insurance marketplace. SHVS is tracking state activity and has many resources, including a template, for states interested in pursuing a Section 1332 waiver.
Operationalizing the New Fast Track Enrollment Options: A Roadmap for State Officials
Manatt Health Solutions – Jocelyn Guyer and Tanya Schwartz
Earlier this year, the Centers for Medicare & Medicaid Services (CMS) issued guidance alerting states to the availability of waivers to facilitate the enrollment of eligible individuals into Medicaid using data states already have “on hand” in their Supplemental Nutrition Assistance Program (SNAP) and Medicaid files. By doing so, states can: efficiently and quickly enroll eligible individuals in coverage; alleviate the administrative demands on new eligibility and enrollment systems for Medicaid and the Marketplaces; and reduce the staff time required to process Medicaid applications. This brief, prepared by Manatt Health Solutions, provides a roadmap for states on how to implement a fast track enrollment process, including all steps from getting the waiver from CMS to sending fast track enrollment forms and actually enrolling individuals into Medicaid before later evaluating fast track enrollees at renewal using standard eligibility determination rules.