Filed Under:Health Insurance, Individual Health

Eligibility and Enrollment Processes for Medicaid, CHIP, and Subsidies in the Exchanges

After the Patient Protection and Affordable Care Act (PPACA) became law, a state-based system of health benefit exchanges was established. This system will allow individuals to purchase coverage, with financial support for those between 133-400 percent of the federal poverty level, and expanding Medicaid eligibility to those with income below that level.

A number of provisions in the PPACA require states to design and operate coordinated, technology-supported enrollment processes to assist Americans who lack access to affordable employer-based coverage in obtaining health coverage through Medicaid, the Children's Health Insurance Program (CHIP), or the state exchanges. The law requires states to develop consumer-friendly application processes for these health subsidy programs, coordinate across them to enable seamless transitions, and reduce the burdens of application and renewal by minimizing the up-front information and documentation required to establish eligibility and instead developing procedures that tap available data from other sources.

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Nichole Morford

Nichole Morford
Managing Editor

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