Posted on March 5, 2010 12:43
Categories: Medicaid | Special Populations | Legislative and Regulatory Issues | State and Local
Topics: Access/Barriers | Children & Adolescents | CHIP | Legislation (National) | Legislation (State & Local) | Medicaid | State Data | Uninsured
The Kaiser Family Foundation (KFF) published a brief outlining key policy issues for states concerning the implementation of Express Lane Eligibility (ELE) under the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA). ELE allows state Medicaid and Children’s Health Insurance Programs (CHIPs) to utilize eligibility findings from other need-based programs to determine and/or renew children’s Medicaid and CHIP eligibility. However, CHIPRA gives states significant flexibility to design ELE initiatives and this brief considers the implications of state-level implementation decisions.
Full report:
The Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) included provisions to encourage and help states reach and enroll the estimated 5 million children who are already eligible for Medicaid or the Children’s Health Insurance Program (CHIP) but remain uninsured. One key tool provided to states under CHIPRA is Express Lane Eligibility (ELE), which allows state Medicaid and CHIP agencies to borrow and rely on eligibility findings from other need-based programs (such as the National School Lunch Program) to determine and/or renew Medicaid or CHIP eligibility for children. States have significant flexibility to design and build ELE initiatives that meet their unique needs in reaching eligible but uninsured children.
Full report: A Roadmap for States Building an Express Lane Eligibility Initiative (PDF | 269.71 KB)
Kaiser Family Foundation. (2010). Building an express lane eligibility initiative: a roadmap of key decisions for states.
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