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.
Manatt Health Solutions, with support from the State Network, has prepared a high level summary of the tasks that states must accomplish to achieve certification of a State Partnership Exchange for Plan Management and/or Consumer Assistance. These tasks closely track the Blueprint for Approval of Affordable State-based or State Partnership Insurance Exchanges, with detailed annotations of tasks directly from the Blueprint.
This template, prepared by Manatt Health Solutions, is intended to assist states in evaluating the options with respect to transitioning certain Medicaid and state-funded populations and programs into a post-ACA coverage environment with Medicaid eligibility for non-disabled adults under age 65 (potentially) expanded to 133% of the FPL and tax credits and cost sharing reductions available to individuals between 133% and 400% of the FPL (or between 100% and 400% in a non-expansion state).
State Coverage Initiatives hosted a Small Group Convening in Chicago, IL on October 4-5, 2012, bringing together technical experts and state officials to present and discuss issues surrounding Consumer Assistance. The presentations made at this meeting are compiled and listed by session.
The following chart, prepared by Manatt Health Solutions, with support from the State Network, summarizes the federal statutory and regulatory eligibility and enrollment requirements for Medicaid using the Modified Adjusted Gross Income (MAGI) methodology, CHIP, Non-MAGI Medicaid, Temporary Assistance for Needy Families (TANF), Child Care Assistance Program and Supplemental Nutrition Assistance Program (SNAP).
Heather Howard, director of the State Health Reform Assistance Network, testified before the House Ways and Means Subcommittee on Health on September 12, 2012, as part of the Congressional subcommittee’s hearing on Implementation of Health Insurance Exhcanges and Related Provisions.
On September 27th, 2012, the National Governors Association (NGA) partnered with the State Network to host a webinar for state officials highlighting the Medicaid Expansion Analysis Tool in order to aid officials in their own state analyses.
Chad Shearer, Deputy Director of the State Health Reform Assistance Network, presented at the National Association of Insurance Commissioners (NAIC) Western Zone Meeting held September 22, 2012 in San Antonio, TX. The presentation gave an overview of the State Network and tools developed by the program specifically for insurance regulators.