Modern Era Medicaid: Findings from a 50-State Survey of Eligibility, Enrollment, Renewal, and Cost-Sharing Policies in Medicaid and CHIP as of January 2015

Tricia Brooks, Joe Touschner, Samantha Artiga, Jessica Stephens, and Alexandra Gates
Published: Jan 20, 2015

Table A: Expanding Eligibility and Simplifying Enrollment: Trends in State Medicaid and CHIP Eligibility and Enrollment Policies, July 1997 to January 2015

Table 1: Adult Income Eligibility Limits as a Percent of the Federal Poverty Level

Table 2: Income Eligibility Limits for Children’s Health Coverage as a Percent of the Federal Poverty Level (FPL)

Table 3: Waiting Period for CHIP Enrollment

Table 4: Optional Medicaid and CHIP Coverage for Children

Table 5: Medicaid and CHIP Coverage for Pregnant Women

Table 6: Online and Telephone Medicaid Applications

Table 7: Online Account Capabilities for Medicaid

Table 8: Income Verification Procedures Used by Medicaid Agencies at Application

Table 9: Non-Financial Eligibility Criteria Verification Procedures Used by Medicaid Agencies

Table 10: Adoption of Targeted Strategies to Streamline Enrollment of Eligible Individuals

Table 11: Renewal Delays and Targeted Strategies to Streamline Renewal

Table 12: Integration between Eligibility Systems for Medicaid and Other Programs

Table 13: Premium, Enrollment Fee, and Cost-Sharing Requirements for Children

Table 14: Premiums and Enrollment Fees for Children at Selected Income Levels

Table 15: Disenrollment Policies for Non-Payment of Premiums in Children’s Coverage

Table 16: Cost-Sharing Amounts for Selected Services for Children at Selected Income Levels

Table 17: Cost-Sharing Amounts for Prescription Drugs for Children at Selected Income Levels

Table 18: Premium and Cost-Sharing Requirements for Selected Services for Section 1931 Parents

Table 19: Cost-Sharing for Selected Services for Medicaid Expansion Adults

Looking Ahead

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