Medicaid and CHIP Eligibility, Enrollment, and Cost Sharing Policies as of January 2020: Findings from a 50-State Survey

Medicaid/CHIP Eligibility
  1. Donna Cohen Ross and Caryn Marks, Challenges of Providing Health Coverage for Children and Parents in a Recession, A 50 State Update on Eligibility, Enrollment, Renewal, and Cost-Sharing Practices in Medicaid and SCHIP in 2009, (Washington, DC: Kaiser Family Foundation, January 2009), https://www.kff.org/medicaid/report/challenges-of-providing-health-coverage-for-children/.

    ← Return to text

  2. Kaiser Family Foundation, “Analysis of Federal Bills to Strengthen Maternal Health Care,” accessed March 9, 2020, https://www.kff.org/womens-health-policy/fact-sheet/analysis-of-federal-bills-to-strengthen-maternal-health-care/.

    ← Return to text

Enrollment and Renewal Processes
  1. Kaiser Family Foundation, Key Lessons from Medicaid and CHIP for Outreach and Enrollment Under the Affordable Care Act, (Washington, DC: Kaiser Family Foundation, June 4, 2013), https://www.kff.org/medicaid/issue-brief/key-lessons-from-medicaid-and-chip-for-outreach-and-enrollment-under-the-affordable-care-act/.

    ← Return to text

  2. Ibid.

    ← Return to text

  3. Ibid.

    ← Return to text

  4. Donna Cohen Ross and Laura Cox, Beneath the Surface: Barriers Threaten to Slow Progress on Expanding Health Coverage of Children and Families, A 50 State Update on Eligibility, Enrollment, Renewal, and Cost-Sharing Practices in Medicaid and CHIP, (Washington, DC: Kaiser Family Foundation, October 2004), https://www.kff.org/wp-content/uploads/2013/01/beneath-the-surface-barriers-threaten-to-slow-progress-on-expanding-health-coverage-of-children-and-families-pdf.pdf and Laura Summer and Cindy Mann, Instability of Public Health Insurance Coverage for Children and their Families: Causes, Consequences, and Remedies, (New York: The Commonwealth Fund, June 2006), http://www.commonwealthfund.org/publications/fund-reports/2006/jun/instability-of-public-health-insurance-coverage-for-children-and-their-families--causes--consequence.

    ← Return to text

  5. Laura Summer and Cindy Mann, Instability of Public Health Insurance Coverage for Children and their Families: Causes, Consequences, and Remedies, (New York: The Commonwealth Fund, June 2006), http://www.commonwealthfund.org/publications/fund-reports/2006/jun/instability-of-public-health-insurance-coverage-for-children-and-their-families--causes--consequence.

    ← Return to text

  6. Centers for Medicare and Medicaid Services, “Oversight of State Medicaid Claiming and Program Integrity Expectations,” June 20, 2019, https://www.medicaid.gov/sites/default/files/Federal-Policy-Guidance/Downloads/cib062019.pdf.

    ← Return to text

  7. Elaine Maag, H. Elizabeth Peters, Anthony Hannagan, Cary Lou, and Julie Siwicki, Income Volatility: New Research Results with Implications for Income Tax Filing and Liabilities, (Washington, DC: Urban Institute, 2017), https://www.urban.org/sites/default/files/publication/90431/2001284-income-volatility-new-research-results-with-implications-for-income-tax-filing-and-liabilities_0.pdf.

    ← Return to text

  8. Rachel Garfield, Robin Rudowitz, Kendal Orgera and Anthony Damico, Understanding the Intersection of Medicaid and Work: What Does the Data Say?, (Washington, DC: Kaiser Family Foundation, August 2019), https://www.kff.org/report-section/understanding-the-intersection-of-medicaid-and-work-what-does-the-data-say-issue-brief/.

    ← Return to text

  9. Robin Phinney, "Exploring Residential Mobility among Low-Income Families." Social Service Review 87, no. 4 (2013): 780-815. Accessed March 8, 2020. doi:10.1086/673963.

    ← Return to text

  10. Centers for Medicare and Medicaid Services, “MAGI 2.0: Building MAGI Knowledge,” September 1, 2016, https://www.medicaid.gov/state-resource-center/mac-learning-collaboratives/downloads/part-2-income.pdf.

    ← Return to text

Premiums and Cost Sharing
  1. Arizona has obtained waiver approval to charge premiums to certain expansion adults but the state has not implemented as of January 2020. In 2019, the courts struck down Kentucky’s waiver that included monthly charges for adults, and, under new state leadership, the state ultimately waiver withdrew its waiver request. New Mexico also had obtained a waiver to charge premiums for certain adults starting in 2019; however, the new governor amended the waiver to remove this authority and does not intend to implement premiums.

    ← Return to text

KFF Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 | Phone 650-854-9400
Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 | Phone 202-347-5270

www.kff.org | Email Alerts: kff.org/email | facebook.com/KFF | twitter.com/kff

The independent source for health policy research, polling, and news, KFF is a nonprofit organization based in San Francisco, California.