When the Families First Coronavirus Response Act Medicaid “continuous coverage” requirement is discontinued states will restart eligibility redeterminations, and millions of Medicaid enrollees will be at risk of losing their coverage. A lack of publicly available data on Medicaid enrollment, renewal, and disenrollment makes it difficult to understand exactly who is losing Medicaid coverage and for what reasons. Publishing timely data in an easy-to-digest, visually appealing way would help improve the transparency, accountability, and equity of the Medicaid program. This expert perspective lays out a set of priority measures that states can incorporate over time into a data dashboard to track Medicaid enrollment following the end of the continuous coverage requirement. For a detailed discussion of the current status of Medicaid enrollment and retention data collection and best practices when developing a data dashboard to display this type of information, SHVS has published a companion issue brief.
State Experiences with Express Lane Eligibility: Policy Considerations and Possibilities for the Future
National Academy for State Health Policy – Maureen Hensley-Quinn, Mary Henderson and Kimm Mooney
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). Originally enacted as an enrollment simplification strategy for CHIP, ELE gives states the opportunity to use existing results from other means-tested human services programs to determine eligibility for Medicaid and CHIP. This helps states to not only identify individuals already known to the systems, but also reduces the documentation burden on both families and the state.
Based on the state interviews conducted for this brief, many of the states using ELE today are interested in continuing to operate the strategy to simplify enrollment and retention for children and want to expand it to be used for adults into and beyond 2014. The following brief outlines important elements of ELE and uses state-specific case studies as evidence for its effectiveness. These case studies are included as an appendix in the brief and can also be accessed separately here.