In 2014, millions of Americans will be eligible to enroll in Medicaid for the first time. To help states develop effective strategies and messages to promote enrollment when the program expands, GMMB in coordination with Lake Research Partners conducted in-depth qualitative and quantitative research through the State Network with people who will be newly eligible in 2014 in Alabama, Maryland, and Michigan.
he Affordable Care Act and the final Medicaid and Exchange regulations issued in March 2012 contemplate: real-time eligibility determinations; coordinated information technology eligibility systems across Insurance Affordability Programs; and, a simplified enrollment pathway for applicants that relies on electronic database verification coupled with self-attestation.
This State Network sponsored Small Group Convening was held in Minneapolis, Minnesota from April 30- May 1, 2012. The State Health Access Data Assistance Center (SHADAC) and other technical experts led sessions to aid state officials in developing an effective evaluation framework in the context of the Affordable Care Act.
This joint meeting, hosted by the State Network and Medicaid Leadership Institute, was held in Boston, MA on April 23-24, 2012. The Center for Health Care Strategies (CHCS) led sessions that ranged from continuity of care during coverage transition to methods for integrated care and reimbursement.
Under health reform, Medicaid will expand in 2014 to cover an additional 16 to 20 million beneficiaries. This population will include a significant percentage of childless adults with urgent and complex health care needs, who are likely to shift between subsidy programs over time.
On March 16, 2012, the Department of Health and Human Services (HHS) issued final and interim final rules codifying Medicaid eligibility and enrollment provisions of the Patient Protection and Affordable Care Act (ACA).
Laying the IT Foundation for 2014: Developing Infrastructure for Improved Eligibility and Enrollment Systems
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.
State Affordable Insurance Exchanges (exchanges) are at the core of the coverage reform in the Affordable Care Act (ACA). The exchanges establish a marketplace in which individuals and small employers can compare and select among affordable, quality health insurance options.
The Affordable Care Act (ACA) provides subsidized coverage options for individuals up to 400 percent of the Federal Poverty Level.
On August 12, 2011, the U.S. Department of Health and Human Services issued two sets of proposed rules focus on Medicaid and Children’s Health Insurance Program (CHIP) eligibility and enrollment procedures, as well as eligibility for exchanges, insurance affordability programs and Qualified Health Plans.