- The majority of states are capitalizing on web-based tools and electronic data to facilitate individuals' access to coverage and ease administrative burdens. As of Jan. 1, 2013, 37 states have an online application for Medicaid or CHIP, an increase of four states over last year. Over half of states (28) allow families to renew online, including eight states that added this capability in 2012. And a large majority of states (45) have adopted an electronic data match with the Social Security Administration to verify applicants' citizenship status, a precursor to the new federal data hub that will be established in 2014 to help states electronically confirm data. While 11 states already have a state hub to access multiple data sources, movement to electronic data verification will represent a major procedural and cultural change in many states.
- Parents and other adults continue to face significant gaps in Medicaid coverage. In 2012, eligibility levels for children and pregnant women remained stable and strong, as intended by the ACA requirement to maintain coverage. As of Jan. 1. 2013, the median eligibility level is 235 percent of the federal poverty level for children, or $44,861 for a family of three, and 185 percent of the poverty for pregnant women, or $35,316 for a family of three. Adult eligibility continues to fall far short of that for children, and three states (HI, IL, and MN) scaled back coverage for adults during 2012. Parent eligibility remains below poverty in 33 states, and only nine states provide full Medicaid coverage to other adults without dependent children. The ACA Medicaid expansion to 138 percent of the federal poverty level ( $26,344 for a family of three) would significantly increase eligibility for parents in many states, with even larger potential gains for other adults. If a state does not expand Medicaid, poor adults who are uninsured will not gain access to a new affordable overage option and likely remain uninsured.
- During 2012, a majority of states did not impose additional cost-sharing requirements on families even though they continued to experience budget constraints. States generally cannot increase premiums under current federal requirements to maintain eligibility and enrollment policies until 2014. As such, premium changes were minimal. However, states are not restricted from increasing co-payments within federal program limits, and nine made such increases in 2012.
Many States Are Making Wide-Ranging Improvements To Medicaid Eligibility And Enrollment Systems To Prepare For The Affordable Care Act In 2014
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