Welcome to night 2 of our Legislative Focus week over Health Care. Tonights topic will cover different ways our #MoLeg can implement Medicaid expansion once we (hopefully) pass it on August 4th.
Reminder- we can expand Medicaid in Missouri on August 4th by voting @YesOn2MO
Strategy 1: Automatically enroll people from family planning programs.
Many non-expansion states provide low-income adults with limited Medicaid coverage for family-planning services. These states have the information needed to determine eligibility for expansion...
...and to seamlessly enroll them into full Medicaid coverage. Louisiana used this strategy in 2016 and they were able to automatically enroll over 197,000 people.
Strategy 2: Enrollment based off of other federal programs.
Most adults enrolled in the SNAP program are eligible for Medicaid. These states have the necessary information to make a full Medicaid determination for these adults, without a separate Medicaid application.
Louisiana (2016) and Virginia (2018) both used this strategy after they expanded Medicaid.
Strategy 3: Enrolling parents based off of their children’s Medicaid eligibility.
Children are eligible for Medicaid if their household income is up to 138% of the poverty line, which means upon expansion, many parents would also be eligible.
Using this information, states can easily identify these parents and seamlessly enroll them into full Medicaid coverage.
California, New Jersey, Oregon, and West Virginia have all implemted this strategy.
Strategy 4: Expanding presumptive eligibility (PE):
PE allows entities to screen individuals for Medicaid eligibility and temporarily enroll those who appear eligible; individuals can then submit a full Medicaid application for ongoing coverage.
States should consider expanding the types of entities that can conduct PE, including the state Medicaid agency.
PE is a valuable option, not just to enroll those who seek care, but to also guarantee payment to hospitals/providers during the PE period.
Strategy 5: Minimzing paperwork and further streamlining enrollment.
States can minimize paperwork by using electronic data sources to verify eligibility. States can also streamline enrollment by leveraging the federal healthcare.gov site...
...to conduct Medicaid determinations and by expanding real-time eligibility determinations.
@YesOn2MO is an incredible opportunity for our state, and we need to make sure we have the right strategies prepared for an efficient implementation.
#JamesforMO #ExpandMedicaid
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