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Eligibility and Enrollment

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  • Topic: Eligibility and enrollment
  • Topic: Affordable Care Act
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State Estimates of the Low-Income Uninsured Not Eligible for the ACA Medicaid Expansion

March 14, 2013 | Issue Brief

A significant number of low-income uninsured adults may be excluded from the Medicaid expansion due to their immigration status after the Affordable Care Act takes effect.

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.

Resources From the Massachusetts Implementation Experience

March 13, 2012 | Issue Brief

The Health Reform Toolkit Series includes toolkits on: building an effective exchange website, implementing a public education campaign, determining health benefit designs to be offered, mitigating risk, and outreach and enrollment to those newly eligible.

The Individual Mandate in Perspective

March 1, 2012 | Issue Brief

The “individual mandate”—the requirement that individuals either have health insurance coverage or pay a fine—is both the best known and the least popular component of the Affordable Care Act (ACA). If the ACA were in effect today, 94 percent of the ...

Determining Eligibility for Insurance Affordability Programs

February 20, 2013 | Program Result

Researchers at Mathematica Policy Research analyzed the impact of new rules for determining eligibility for insurance affordability programs under the Affordable Care Act on state governments as well as prospective enrollees.

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.

Effective Education, Outreach, and Enrollment Approaches for Populations Newly Eligible for Health Coverage

March 1, 2012 | Toolkit

The Health Reform Toolkit Series focuses on outreach and enrollment for those newly eligible under ACA. It offers ideas and resources that may be useful as states plan and implement their own outreach and enrollment efforts, with a particular focus on those individuals and families who will be newly eligible for Medicaid or subsidized insurance coverage in 2014.

What the Oregon Health Study Can Tell Us about Expanding Medicaid

August 1, 2010 | Journal Article

The recently enacted Patient Protection and Affordable Care Act includes a major expansion of Medicaid to low-income adults in 2014. This paper describes the Oregon Health Study, a randomized controlled trial that will be able to shed some light on ...

Designing Consumer Assistance Programs

March 1, 2013 | Issue Brief

Major state decisions regarding coverage expansion consumer assistance strategies are outlined in this brief, in addition to tools state officials can use when determining how to meet the needs of new and existing consumers.

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