Implementing Eligibility Changes under the Affordable Care Act: Issues Facing State Medicaid and CHIP Programs

 

The Affordable Care Act (ACA) includes many provisions designed to expand and streamline Medicaid eligibility. These provisions are intended to change the Medicaid eligibility determination and renewal processes for most Medicaid applications and beneficiaries to a system that utilizes information technology to provide the insurance coverage options that fits each individual's current circumstances and needs. The effectiveness of this new model will depend upon states' ability to implement it successfully. 

This brief evaluates the Medicaid and CHIP eligibility changes that states will need to implement under the ACA, identifying the most salient issues that states will need to consider in order to ensure that the new eligibility determination and renewal processes for these programs are effective.