On January 23, 2023, the Federal Communications Commission issued an important ruling that provides states with new flexibility to support enrollee outreach and communication efforts as part of their processes to unwind the Medicaid continuous coverage requirement. The ruling permits state agencies and their partners to send text messages and make phone calls to individuals about enrollment-related issues not only for Medicaid but for other state-run health insurance programs, including marketplace coverage. This expert perspective reviews the ruling and implications for states.
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 Originally enacted as an enrollment simplification strategy for CHIP, ELE gives states the opportunity to use existing results from other means-tested human services programs to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.