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Eligibility and Enrollment

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Medicaid/CHIP Participation Among Children and Parents

December 3, 2012 | Report

The report presents the most up-to-date estimates available on Medicaid/CHIP participation rates, and examines how participation, eligibility, and rates of being insured have changed among children between 2008 and 2010 and examines participation rates among parents.

Income Eligibility Thresholds, Premium Contributions, and Children's Coverage Outcomes

April 1, 2013 | Journal Article

A CHIP expansion simulation finds sensitivity to higher contributions for higher income families.

Analysis of Eligibility Changes and Implications for Selected Medicaid and CHIP Eligibility Groups

July 1, 2012 | Issue Brief

The Patient Protection and Affordable Care Act (ACA) has prompted the Centers for Medicare and Medicaid Services (CMS) to promulgate Medicaid and CHIP eligibility rules designed to simplify and collapse Medicaid eligibility categories in preparation ...

State Based Health Insurance Exchange Individual Eligibility Business Requirements Template

August 1, 2012 | Report

The Individual Eligibility Business Requirements Template, prepared by Manatt Health Solutions, was developed in order to help drive state decisions and is based on the the eligibility business functions that state Exchanges and Medicaid agencies ar ...

Federal Requirements and State Flexibilities for Verifying Eligibility Criteria

May 1, 2012 | Issue Brief

The 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 si ...

Overview of Final Exchange Regulations

April 1, 2012 | Issue Brief

The State Network summarizes key provisions in the Patient Protection and Affordable Care Act (ACA) final rule, which represents the most significant guidance to date on Health Insurance Exchanges operation, setting forth minimum standards.

Using Data to Drive State Improvement in Enrollment and Retention Performance

November 1, 2011 | Issue Brief

The brief provides recommendations for increasing enrollment and retention in public insurance programs.

What Proven Strategies Help Maximize Enrollment in Public Health Insurance Programs?

August 1, 2011 | Issue Brief

States will play a vital role in the success of federal health reform by enrolling residents in public health insurance programs.

Pre-Existing Condition Insurance Plan

June 13, 2011 | Issue Brief

Brief focuses on issues surrounding the Pre-Existing Condition Insurance Plan program, which will be operated by some of the states themselves or by the federal government.

Addressing Coverage Challenges for Children Under the Affordable Care Act

May 26, 2011 | Issue Brief

Millions of children in complex family situations will require special attention to ensure access under reform.

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