The Medicaid Eligibility Maze: Coverage Expands, but Problems Persist
This report examines Medicaid eligibility policies and operations in five states – California, Colorado, Florida, Minnesota and Wisconsin – following initial changes introduced by the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) of 1996 and the new Children’s Health Insurance Program (CHIP). The study findings suggest that eligibility policy expansions alone may not prevent Medicaid enrollment declines. The report discusses several problem areas affecting Medicaid eligibility and enrollment operations including challenges in severing Medicaid and welfare, complex rules and procedures, and systems and communication inadequacy.
also of interest
- The Uninsured: A Primer - Key Facts about Health Insurance on the Eve of Coverage Expansions
- The Role of Medicaid for Adults With Chronic Illnesses
- Medicaid Coverage and Care for the Homeless Population: Key Lessons to Consider for the 2014 Medicaid Expansion
- A Historical Review of How States Have Responded to the Availability of Federal Funds for Health Coverage