State Experiences with Express Lane Eligibility: Policy Considerations and Possibilities for the Future
The following document, prepared by the National Academy for State Health Policy, discusses the possible role of Express Lane Eligibility (ELE) in simplifying and streamlining enrollment into Medicaid and the Children’s Health Insurance Program (CHIP).
The Affordable Care Act (ACA) created the Small Business Health Options Program (“SHOP”) to create new marketplaces for small employers (and employees) to shop for and purchase employer subsidized health insurance coverage. In addition to small business tax credits, the primary value proposition for the SHOP is to facilitate employee choice.
Forum One Communications and GMMB have aided three State Network states in developing consumer-friendly websites aimed at tackling the difficult challenge of explaining the Affordable Care Act (ACA) provisions to consumers.
Building On a Solid Foundation: Leveraging Current Programs and Infrastructure in Navigator Program Development
The Patient Protection and Affordable Care Act (ACA) establishes health benefits exchanges and requires them to create a navigator program to assist consumers and small businesses as they apply for and enroll in coverage.
The Patient Protection and Affordable Care Act (ACA) has prompted the Centers for Medicare and Medicaid Services (CMS) to promulgate Medicaid and CHIP eligibility rules designed to simplify and collapse Medicaid eligibility categories in preparation for the changes in Medicaid that will become effective under the ACA in 2014.
This brief, prepared by State Health Access Data Assistance Center (SHADAC), overviews the SHADAC Projection Model, a complex spreadsheet model that states can use to estimate the impacts of policy changes on health insurance coverage.
Managing State-Level ACA Implementation Through Interagency Collaboration” was developed by Shelly Ten Napel and the State Network team to describe the early lessons learned from state officials and technical experts related to the leadership and coordination strategies needed to successfully implement the Affordable Care Act (ACA) at the state level.
On May 18, 2012, the Internal Revenue Service (IRS) finalized regulations related to health insurance premium tax credits authorized by the Affordable Care Act (ACA) for certain lower-income individuals who enroll in qualified health plans (QHPs) through Exchanges.
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.
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.