Amid ongoing state budget pressures, a requirement in the Affordable Care Act (ACA) that states maintain eligibility in Medicaid programs and Children’s Health Insurance Programs (CHIP)was central in preserving coverage during 2011. In addition, more than half of states (29) made improvements in their programs, according to a new survey released by the Kaiser Family Foundation's Commission on Medicaid and the Uninsured (KCMU).
The 11th annual 50-state survey, conducted with the Georgetown University Center for Children and Families, provides 2012 data on Medicaid and CHIP eligibility,enrollment, renewal and cost-sharing policies for children, pregnant women, parents and other non-disabled adults and identifies policy changes during 2011.
These are among its key findings:
- Reflecting the ACA requirement for states to maintain coverage, Medicaid and CHIP eligibility held steady in nearly all states in 2011.
- Despite state budget pressures, 29 states made improvements in Medicaid and/or CHIP, often using technology to boost program efficiency and making it easier for families to enroll in coverage.
- Medicaid and CHIP remain a key source of coverage for low- and moderate-income children.
- Half of states (25) increased the efficiency of their enrollment and renewal practices, often by advancing technology.
- New enhanced federal funding for technology investments spurred state action to modernize Medicaid eligibility systems.
The 50-state survey report was released at a public briefing at the Foundation’s Washington offices and can be found online. Another recent KCMU brief, Performance Measurement Under Health Reform: Proposed Measures for Eligibility and Enrollment Systems and Key Issues and Trade-offs to Consider, informs the development of performance measures for eligibility and enrollment systems under health reform.