Findings from the field. Enrollment and consumer assistance in four states in year three of the ACA Enrollment and consumer assistance in four states in year three of the ACA Issue brief (Henry J. Kaiser Family Foundation) Tolbert, Jennifer, author. Artiga, Samantha, author. Rudowitz, Robin, author. Paradise, Julia, author. Majerol, Melissa, author. United States. Eligibility Determination Health Insurance Exchanges Medicaid Patient Navigation Three years into the implementation of the ACA, many states continue to streamline their eligibility and enrollment processes and refine their outreach efforts and consumer assistance programs in order to maintain and expand on the coverage gains achieved to date. Based on case studies and focus groups, this brief reviews experiences with Medicaid and Marketplace enrollment, renewal, and consumer assistance in Colorado, Connecticut, Kentucky, and Washington as of Spring 2016. These states implemented the Medicaid expansion and established a state-based Marketplace (SBM) in 2014. This brief builds on previous reports that examined states' preparation for implementation prior to the initial ACA open enrollment period and their experiences after completion of the first and second open enrollment periods. Together, this work provides an in-depth understanding of ACA implementation from multiple perspectives, tracking and documenting experiences that may help shape efforts moving forward. Menlo Park, CA : Henry J. Kaiser Family Foundation, September 2016 Henry J. Kaiser Family Foundation, issuing body. Kaiser Commission on Medicaid and the Uninsured, issuing body. Technical Report Text Illustrations 1 online resource (1 PDF file (13 pages, 1 unnumbered page)) nlm:nlmuid-101694369-pdf 101694369 http://resource.nlm.nih.gov/101694369 English Colorado Connecticut Kentucky United States Washington Includes bibliographical references. Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. https://creativecommons.org/licenses/by/4.0