Reasonable Compatibility Straw Models: Federal Requirements and State Options for Constructing a State’s Financial Reasonable Compatibility Standard
Manatt Health Solutions has created Reasonable Compatibility Straw Models to help state implementers better understand how to operationalize the Affordable Care Act’s (ACA) eligibility rules in their state systems.
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.
State Network Presentation at NAIC Summer 2012 National Meeting
Heather Howard, Director of the State Health Reform Assistance Network, and Mila Kofman, Research Professor at Georgetown University’s Health Policy Institute, presented at the National Association of Insurance Commissioners (NAIC) Summer National Meeting held from August 11-14, 2012 in Atlanta, GA.
Analysis of Eligibility Changes and Implications for Selected Medicaid and CHIP Eligibility Groups
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.
State Network Annual Meeting Plenary Presentations
The State Health Reform Assistance Network hosted its Annual Meeting in Portland, Oregon to bring together state officials and State Network technical assistance providers for a three day intensive meeting from July 11-13, 2012. The Annual Meeting provided an opportunity for state officials to hear from Oregon Governor John Kitzhaber, Len Nichols, and Jeanene Smith during plenary sessions.
2014 Medicaid Eligibility Transition Toolkit for States
The 2014 Medicaid Eligibility Transition Toolkit is designed to assist states in systematically identifying issues and decisions they will face as they convert to 2014. The toolkit was originally provided to two states by the National Academy for State Health Policy (NASHP) as part of the State Health Reform Assistance Network that is funded by the Robert Wood Johnson Foundation. NASHP has updated the toolkit to be applicable to any state and to reflect the final Medicaid eligibility rules.
“Reasonable” Flexibility: Exploring Models to Help States Resolve Inconsistencies in Income for Medicaid, CHIP and Tax Credit Eligibility Webinar
This webinar offered detailed analysis of the standards under which states can find “reasonable compatibility” of income information provided by applicants for Medicaid, CHIP and the exchanges that is not precisely equivalent. Income data is typically neither static nor centralized, and states must be prepared to resolve discrepancies when income data is submitted by applicants or retrieved from state, federal, or other independent sources.
Predicting the Health Insurance Coverage Impacts of Complex Policy Changes: A New Tool for States
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
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.
Overview of Final Regulations on Health Insurance Premium Tax Credit
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.