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Eligibility Enrollment Overview: What ACA Means for States
Eligibility Enrollment Overview: What ACA Means for States
Eligibility Enrollment Overview: What ACA Means for States
Eligibility Enrollment Overview: What ACA Means for States
Eligibility Enrollment Overview: What ACA Means for States
Eligibility Enrollment Overview: What ACA Means for States
Eligibility Enrollment Overview: What ACA Means for States
Eligibility Enrollment Overview: What ACA Means for States
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Eligibility Enrollment Overview: What ACA Means for States

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  • 1. Harmonizing Eligibility, Enrollment and Coverage: Can States Hit the Right Notes? What ACA Means for States Alice Weiss Program Director, NASHP NASHP 23rd Annual State Health Policy Conference New Orleans, LA October 5, 2010
  • 2. March 23 – ACA Becomes Law
  • 3. Eligibility Transformation Major Medicaid Eligibility Expansion Streamlined Medicaid Eligibility Test MAGI (with Medicaid “point in time’ and “countable sources of income rules”) Subsidized Coverage Through Exchanges More Stringent Regulation of Private Coverage MOE for Current Medicaid and CHIP Eligibility
  • 4. Streamlined Enrollment Single Application Form for All Programs Minimum Documentation Standard Application Online, By Phone, In Person, By Mail “No Wrong Door” “Screen and Enroll” Promotes Seamless Coverage, Transitions Presumptive Eligibility Option
  • 5. New Coverage Imperative Individual Mandate Children Must Be Enrolled When Parents Enroll Exchange Coverage Options Consumer Assistance >> Paradigm Shift Towards Universal Coverage
  • 6. Unprecedented Challenges… Financial and Political Complexities of New Rules Systems Upgrades Local Administration Culture Change Rapid Pace of Change
  • 7. … and Opportunities Paradigm Shift Rewards for States, Consumers System Reform Goals Within Reach Quality/Provider Payment Vertical/Horizontal Integration of Eligibility Systems Changes to Local/State Relationship Health Disparities Moving the Needle on Uninsured
  • 8. Questions? Alice Weiss Program Director, NASHP Deputy Director, Maximizing Enrollment for Kids 1233 20th Street NW, Suite 303 Washington, DC 20036 202-903-0101 aweiss@nashp.org

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