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Getting into gear for 2014: findings from a 50-state survey of eligibility, enrollment, renewal, and cost-sharing policies in Medicaid and CHIP, 2012-2013
Getting into gear for 2014: findings from a 50-state survey of eligibility, enrollment, renewal, and cost-sharing policies in Medicaid and CHIP, 2012-2013
As 2013 begins, implementation of the major provisions of the Affordable Care Act (ACA), including its coverage expansions, is less than a year away. Following the Supreme Court ruling to uphold the ACA and the 2012 elections, efforts to prepare for 2014 are moving into high gear in many states. During the past year, a number of states shifted focus to wide-ranging improvements in Medicaid enrollment processes and systems and a number continued to make more targeted eligibility or procedural improvements. Similar to recent years, Medicaid and the Children's Health Insurance Program (CHIP) continued to be bedrock sources of coverage for children and, to a lesser degree, their parents, as the ACA requirement for states to maintain eligibility levels and enrollment and renewal procedures remained in place. Modest improvement in the economy curbed Medicaid enrollment growth and its impact on state budgets. Yet, continuing fiscal constraints prompted a number of states to increase cost-sharing and a handful eliminated coverage for adults under limited exceptions to the requirement for states to maintain eligibility. At this pivotal time, this twelfth annual report provides a snapshot of current Medicaid eligibility and enrollment policies and procedures and highlights changes states will need to make in the coming year to implement the Medicaid provisions of the ACA. Conducted by the Kaiser Commission on Medicaid and the Uninsured and the Georgetown University Center for Children and Families, it provides results from a 50-state survey of eligibility, enrollment, renewal, and cost-sharing policies in Medicaid and CHIP, documenting changes made during 2012 and policies in place as of January 1, 2013.
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