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January 30, 2013

Kaiser Family Foundation Releases Two Reports at Washington, D.C. Briefing

The Kaiser Family Foundation in partnership with the Georgetown University Health Policy Institute Center for Children and Families recently released the 12th annual surveys at a briefing held in Washington, D.C.

The first report, “Getting into Gear 2014: Findings from a 50- State Survey of Eligibility, Enrollment, Renewal, and Cost-sharing policies in Medicaid and Chip,” observed the trends of states that are moving their focus to extensive upgrades in Medicaid eligibility and enrollment procedures and processes.  States are making many changes now to ensure they are ready to implement Affordable Care Act provisions in 2014.  Under the ACA, there is a “no wrong door” for coordinated enrollment for Medicaid exchanges and other insurance affordability programs.  The goal is to provide an easy and efficient course for individuals who are Medicaid eligible and who in turn and can get real-time determinations and automated renewals with the use of a Federal Data Hub.

The second report released, The Faces of the Medicaid Expansion: How Obtaining Medicaid Coverage Impacts Low Income Adults Report commissioned by the Kaiser Family Foundation and Lake Research Partners studied focus groups in states that have expanded Medicaid, including California, Connecticut, Minnesota, and D.C.  Individuals surveyed were previously uninsured, ranging in age, race, and health status.  Nearly all were struggling financially and could not afford to visit their primary care physician or fill their prescriptions.  Individuals often reported that they skipped medication doses and in most extreme cases, would not seek emergency care when needed.  Obtaining Medicaid coverage provided a great amount of sense of relief because now they had access to the primary care physicians and became educated on how to maintain a healthy lifestyle.

If you are interested in viewing a webinar of this event, read the transcript, or download the podcast you can find it here: http://www.kff.org/Medicaid/2013medicaid50statesurvey.cfm. Visit the Kaiser Family Foundation at www.kff.org/mediciad. For more information, please contact Liz Heintzman at [email protected].



January 29, 2013

NEW ITEM ADDED: 2013 HHS Tribal Consultation

To learn more about Tribal Consultation and the upcoming HHS 2013 Tribal Budget and Regional Tribal Consultations, visit the Affordable Care Act Consultation Page by clicking here



January 29, 2013

NEW ITEM ADDED: Study on Economical Impacts of Medicaid Expansion in Alaska

The Alaska Native Tribal Health Consortium (ANTHC) commissioned a study on the fiscal and economic impacts of Medicaid Expansion in Alaska. Visit the Medicaid Expansion Fact Sheets to read this report.



January 28, 2013

Money Follows the Person Tribal Initiative

The “Money Follows the Person” Rebalancing Demonstration Program (MFP) helps States rebalance their long-term care systems to transition people with Medicaid from institutions to the community.

Participating MFP States: AR, CA CO, CT, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, NC, ND, NE, NH, NJ, NV, NY, OH, OK, OR, PA, RI, SC, TN, TX, VA, VT, WA, WI, WV, AL, MT, SD, and the District of Columbia.

States not participating in MFP: AK, AZ, NM, WY, and UT

From spring 2008 through December 2010, nearly 12,000 people have transitioned back into the community through MFP Programs. The Affordable Care Act of 2010 strengthens and expands the “Money Follows the Person” Program to more States

The  Money Follows the Person (MFP) MFP Tribal Initiative offers existing MFP states and tribes the necessary resources to build sustainable community-based long-term services and supports (lTSS) specifically for Indian country.  Through a supplemental budget request, MFP grantees and tribal partners may use the TI to address disparities, improve access, and advance the development of the infrastructure required to implement Medicaid community-based LTSS for American Indians and Alaska Natives (AI/AN)



January 28, 2013

New single, streamlined application for health insurance and the SHOP applications

CMS is seeking public comment on the new single, streamlined application for health insurance and the SHOP applications in preparation for the launch of a new Health Insurance Marketplace next fall.  Model applications and documentation for individuals and small businesses (SHOP) are now available for public comment via the paperwork reduction act (PRA).

The individual application is a single point of entry to purchase private insurance on the Marketplace and assess eligibility for assistance including, Medicaid, CHIP, and the Advanced Payment of Tax Credits.  People are asked to review the paper and online applications.  To demonstrate how users may interact dynamically with the online application, CMS has posted two videos of the application being completed.  One follows a family of three and the other an individual.

If you would like to see the video demonstrations, they are available at http://www.youtube.com/user/CMSHHSgov

SHOP applications for both employers and employees are posted in separate paperwork reduction act packages.

All PRA packages are available at:  http://go.cms.gov/PRA-Listing.  When you reach that site, the packages can be found under the following titles and numbers.

Individual Application

•  Data Collection to Support Eligibility Determinations for Insurance Affordability Programs and Enrollment through Affordable Insurance Exchanges, Medicaid and Children’s Health Insurance Program Agencies (CMS-10440)

SHOP Employer

•  Data Collection to Support Eligibility Determinations and Enrollment for Small Businesses in the Small Business Health Options Program (CMS-10439)

SHOP Employee

•  Data Collection to Support Eligibility Determinations and Enrollment for Employees in the Small Business Health Options Program (CMS-10438)