States Cutting Red Tape in Health Programs

December 21, 2012 at 11:13 am

Twenty-three states (see map) received a total of roughly $300 million in federal performance bonuses this week for exceeding targets for enrolling more eligible children in Medicaid and removing obstacles that can prevent eligible families from applying for and renewing Medicaid and CHIP (Children’s Health Insurance Program) coverage.

The bonuses give states a powerful incentive to improve their eligibility and enrollment processes.

South Carolina, for example, first qualified for a bonus in 2011 after adopting “express lane eligibility,” meaning the state now renews some children’s eligibility for Medicaid using information it has already obtained and verified when determining the family’s eligibility for SNAP (formerly food stamps).  As a result, these families no longer have to submit the same information twice.

Since South Carolina adopted this new procedure, which saves time and effort for the state as well as families, more than 175,000 children have renewed Medicaid coverage without unnecessary paperwork.

States will make their health care programs even more accessible to eligible families in the next couple of years because of health reform, which requires all states to adopt several such measures by 2014 — such as using electronic data to verify beneficiaries’ continued eligibility for Medicaid and CHIP when they renew coverage.  You can find detailed information about the changes that states will make in Coordinating Human Services Programs with Health Reform Implementation: A Toolkit for State Agencies.

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More About Shelby Gonzales

Shelby Gonzales

Gonzales is a Senior Policy Analyst in the Health Division. She focuses primarily on the implementation of effective outreach and program simplification strategies to promote enrollment and retention in Medicaid and the Children’s Health Insurance Program (CHIP). Gonzales also works on issues related to outreach, eligibility and enrollment in the implementation of the Affordable Care Act. Gonzales was appointed to serve as a member of the Advisory Panel on Outreach and Education (APOE) which among other duties is charged with advising the Secretary of Health and Human Services and the Centers for Medicare and Medicaid Services Administrator on matters related to education and outreach to enroll and retain individuals in Medicaid, Medicare and CHIP.

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