Outside of open enrollment, consumers still have the opportunity to enroll in qualified health plans when they experience certain life changes, such as marriage or a permanent move to an area with new coverage options. These opportunities to enroll outside of open enrollment are called special enrollment periods, or SEPs.
Examines interstate billing problems, presents the results of a survey of state approaches to out-of-state billing, lists some promising practices for processing out-of-state Medicaid claims.
Key Issues in the Final and Interim Final Rules on Establishing Exchanges and Expanding Medicaid under the Affordable Care Act
Summarizes key points in the final rules on the marketplaces (also known as exchanges) and the Medicaid expansion, as well as provisions that are interim final and open for comment.
Explains how states and health assistance programs handle billing disputes for Medicaid beneficiaries, answers questions about Medicaid billing issues.
Protecting Seniors and People with Disabilities: Why It Is Important to Preserve the Maintenance of Effort Requirement in the Affordable Care Act
Discusses how stripping the maintenance of effort requirement from the Affordable Care Act will negatively affect Medicaid enrollees, their families, and their state economies.
Republicans' ACA Replacement Proposals Fall Short of Providing the Protections and Care People Currently Enjoy Under the Affordable Care Act
Despite public disapproval, congressional Republicans are rushing down a dangerous path that could take health coverage away from 30 million people and raise premiums for millions more.
Last month, Kentucky asked the federal government for approval to make significant and troubling changes to its highly successful Medicaid expansion program. To justify its request, the state asserted that these changes would help “break the cycle of poverty.” However, the results would likely be the opposite.
The fact is, by providing health insurance and helping people in the program avoid medical debt, Medicaid coverage can actually improve the financial health of its enrollees. Two recent reports, one in April and one in June, offer new evidence supporting that link.
Describes five key provisions of the Affordable Care Act that are in effect and lists the number of people in each state who are benefiting from each provision.
A quick reference chart that outlines required and optional changes to Medicaid that make the eligibility process for applicants more streamlined and consumer-friendly.
Provides state-level data showing why hospitals are important to residents and state economies—and why Medicaid funding is essential to hospitals' bottom lines.