By Beth Morrow | October 2010
The success of the Affordable Care Act in achieving near-universal health coverage will depend on the effectiveness of the enrollment and renewal processes that states put in place. The law establishes the expectation that systems should enroll individuals with the minimum possible burden and handle transitions seamlessly.
This brief, published in partnership with the Kaiser Commission on Medicaid and the Uninsured, explains the key enrollment-related provisions of the health reform law, discusses the elements of an enrollment system that would comply with the law's requirements, and offers strategies -- and examples -- of how to achieve such a system.
With a quickly approaching 2014 deadline, states must begin working together with federal agencies and stakeholders to put critical policies and systems in place. As states address the immediate challenge of designing and building an Exchange, coordination with Medicaid and CHIP at all points in the enrollment process -- from application at the front-end, to data retrieval and verification at the back end -- is a fundamental organizing principle.
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This roadmap lays out the four design features (and practical recommendations for action within each) necessary to enroll almost 4 million Californians newly eligible for subsidized health coverage under health reform, in addition to assisting the over 8 million already receiving such coverage. While written with a specific focus on California, the information and recommendations in the report will be relevant to decisionmakers in any state.
This brief lays out the case for investing in systems that enable electronic information exchange for children and youth in foster care, reviews existing efforts underway in states and communities, identifies specific elements that serve this population most effectively, and discusses steps that state advocates can take to establish an integrated electronic record of care for foster children and youth in their state.
