Operationalizing the New Fast Track Enrollment Options

A Roadmap for State Officials

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Earlier this year, the Centers for Medicare & Medicaid Services (CMS) issued guidance alerting states to the availability of waivers to facilitate the enrollment of eligible individuals into Medicaid using data states already have “on hand” in their Supplemental Nutrition Assistance Program (SNAP) and Medicaid files. By doing so, states can: efficiently and quickly enroll eligible individuals in coverage; alleviate the administrative demands on new eligibility and enrollment systems for Medicaid and the Marketplaces; and reduce the staff time required to process Medicaid applications.

This brief, prepared by Manatt Health Solutions, provides a roadmap for states on how to implement a fast track enrollment process, including all steps from getting the waiver from CMS to sending fast track enrollment forms and actually enrolling individuals into Medicaid before later evaluating fast track enrollees at renewal using standard eligibility determination rules. 

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