Eligibility Issues in Medicaid and CHIP: Interactions with the ACA

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March 2013

In Chapter 2 of its March 2013 report, MACPAC examines new eligibility determination requirements under the Patient Protection and Affordable Care Act (ACA, P.L. 111-148, as amended) for Medicaid, the State Children’s Health Insurance Program (CHIP) and exchange coverage, including the Medicaid expansion to childless adults in some states, the requirement to streamline eligibility determinations and to standardize income-counting methodologies across states and programs, and the effect of these changes on churning.

Chapter 2 offers recommendations to Congress that, if enacted, would improve enrollment stability and better align a current Medicaid program known as Transitional Medical Assistance (TMA) with new provisions enacted by the ACA. Read more about how new eligibility processes affect Medicaid and CHIP as states and the federal government implement the ACA.

Publication Type: Reports to Congress

From: March 2013 Report to the Congress on Medicaid and CHIP

Tags: Affordable Care Act, childless adults, churning, continuous eligibility, eligibility, exchanges, jobless adults, Medicaid expansion, new adult group, Transitional Medical Assistance (TMA), working adults