“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.
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.
The coverage expansions in the Affordable Care Act (ACA) could have profound impacts on American Indian and Alaskan Native (AI/AN) populations.
The Affordable Care Act offers numerous opportunities to stabilize coverage and care for beneficiaries as their incomes fluctuate, and states can reduce the impact of churn between coverage programs with design and purchasing strategies that promote seamlessness.
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.