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A Closer Look at The Uninsured Eligible for Medicaid and CHIP

This brief provides a closer look at the child and adult uninsured population eligible for Medicaid coverage under current and new ACA rules and identifies key differences between states moving forward with the expansion and those not moving forward at this time

Interactive: A State-by-State Look at How the Uninsured Fare Under the ACA

The Affordable Care Act (ACA) includes coverage options for people across the income spectrum, but there are big differences in eligibility for coverage depending on whether a state expands Medicaid or not. This interactive provides a state-by-state look at how many currently uninsured people are estimated to be eligible for Medicaid or tax credits, or in the coverage gap.

An Introduction to Medicaid and CHIP Eligibility and Enrollment Performance Measures

The Centers for Medicare & Medicaid Services (CMS) recently established 12 new Medicaid and CHIP eligibility and enrollment performance indicators for states to report beginning in October 2013. These indicators provide insight into the performance of new eligibility and enrollment policies established under the Affordable Care Act (ACA). In December 2013, CMS released initial reports for a subset of the indicators. This brief provides an overview of the new performance indicators; the initial data; and the opportunities and challenges associated with reporting, analyzing, and interpreting the data.

Characteristics of Poor Uninsured Adults who Fall into the Coverage Gap

In states that do not implement the Medicaid expansion under the Affordable Care Act (ACA), many adults will fall into a “coverage gap” of earning too much to qualify for Medicaid but not enough to qualify for Marketplace premium tax credits. Nationwide, nearly five million poor uninsured adults are in this situation.This brief describes the population in the coverage gap and discusses the implications of them being left out of ACA coverage expansions.

Medicaid Enrollment: June 2013 Data Snapshot

This Data Snapshot provides 50-state data on Medicaid monthly enrollment trends, adding June 2013 data. Overall, Medicaid enrollment growth continued to slow to the lowest rate since the start of the Great Recession as the economic conditions continued to slowly improve. While enrollment growth rates have been trending downward as economic conditions continue to slowly improve, enrollment growth is expected to increase significantly as states implement the ACA. Regardless of whether states decide to implement the Medicaid expansion or not, enrollment is anticipated to grow on average across all states due to new streamlined eligibility and enrollment processes as well as outreach for new coverage. This report provides baseline data for understanding the impact of the ACA eligibility and enrollment policies on enrollment growth across states.

CHIP Enrollment: June 2013 Data Snapshot

This issue brief provides state level CHIP enrollment data, adding the June 2013 period. In June 2013, over 5.7 million children were enrolled in the Children’s Health Insurance Program (CHIP.) Enrollment in June 2013 increased by 190,453 or by 3.4 percent, compared to one year earlier. Since 2009, annual rates of growth have remained fairly steady, ranging between 3.2 percent and 3.8 percent. In contrast, during the height of the Great Recession, enrollment increased annually by 7.8 to 10 percent. Overall, CHIP enrollment continued to increase, but growth slow to the lowest rates since the start of the Recession as the economic conditions continued to improve. CHIP programs, along with state Medicaid programs continue to play a critical role in assuring health coverage for uninsured children.

Medicaid Enrollment Under the Affordable Care Act: Understanding the Numbers

This issue brief walks through data recently released from Health and Human Services (HHS) and what it can and cannot tell us about the number of people that have applied for Medicaid since open enrollment for health insurance marketplaces began, how many have enrolled, and what the role of the ACA is in recent Medicaid coverage gains.

Integrating Physical and Behavioral Health Care: Promising Medicaid Models

Although many people require treatment for both physical and behavioral health conditions, our physical and behavioral health systems typically operate independently, without coordination. Medicaid has a significant stake in addressing this issue because physical and behavioral health comorbidity rates among beneficiaries are high. This brief examines five promising approaches currently underway in Medicaid to better integrate physical and behavioral health care.

Medicaid Per Enrollee Spending: Variation Across States

This brief examines variation in spending per enrollee across eligibility groups, across states and over time, as well as the correlation between spending per enrollee in the base year and the annual growth rate in the following years. It examines the importance of variation in spending in the context of the different proposals to change Medicaid’s financial structure.

The ACA and Recent Section 1115 Medicaid Demonstration Waivers

This brief focuses on Section 1115 Medicaid demonstration waivers related to implementation of the ACA Medicaid expansion (eligible for ACA enhanced matching funds) or other coverage (not eligible for ACA enhanced matching funds). To date, the Centers for Medicare and Medicaid Services (CMS) has approved waivers to implement the Medicaid expansion in three states: Arkansas, Iowa and Michigan. In addition, Pennsylvania has a waiver proposal.