July 1, 2014 – July 14, 2014

Medicaid Enrollment Increased by Nearly 1 Million in May: On July 11, the Centers for Medicare and Medicaid Services (CMS) released the May enrollment report for Medicaid and the Children’s Health Insurance Program (CHIP). Almost 1 million more Americans enrolled in Medicaid and CHIP in May, bringing the total Medicaid and CHIP enrollment since October 2013 to 6.7 million. Medicaid/CHIP has grown by 5.9 million (17 percent) in states that expanded Medicaid; in states that did not expand Medicaid, Medicaid/CHIP enrollment grew by 0.7 million (3 percent). For the first time, the report breaks out the monthly enrollment of children in Medicaid and CHIP for the months of January through May 2014

CMS Pushes States to Resolve Medicaid Backlogs: On June 27, CMS sent six states (AK, CA, KS, MI, MS, TN) letters requesting written responses regarding their plans to resolve eligibility and enrollment issues currently delaying applications for individuals determined eligible for Medicaid by the marketplace. CMS requested responses from these states by July 14.

More Surveys Indicate Uninsured Rates Declined During Open Enrollment: Although comprehensive data on the number of uninsured in each state post-open enrollment are not yet available, three new surveys from the Commonwealth Fund, Gallup, and the Urban Institute indicate that between eight and 11 million Americans gained health coverage nationally.

State updates:

  • Connecticut: Access Health officials have identified a system error that has affected thousands of consumers who notified the marketplace of changes in circumstances (e.g. changes in income, household size, etc.). The problem: Access Health incorrectly determined some consumers eligible for Medicaid and others received inaccurate subsidy and premium information from their insurance plans, causing incorrect payment and even cancellations for some consumers. Access Health has implemented a temporary fix to the system so that no additional consumers are affected by the glitch, and is contacting consumers who received inaccurate eligibility information and ensuring they are in (or transitioned to) the right plan with the right costs.
  • Illinois: On July 3, the Illinois Department of Public Health released its FY2015 funding opportunity for the state’s navigator program, Get Covered Illinois. The state has approximately $25 million available for the grants, and proposals are due August 1.
  • Massachusetts: On July 10, Health Connector officials reported to the board that the marketplace’s new software solution passed its first key test on June 30; it successfully completed several sample eligibility scenarios and connected to the data hub.
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