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United States News Title: October Medicaid (1,460,367) eligibles v Obamacare Marketplace (106,185) Enrollments October Medicaid (1,460,367) eligibles v Obamacare Marketplace (106,185) Enrollments nolu chan On November 13, 2013, DHHS reported that 106,185 as the "Number of individuals who have selected a Marketplace plan." This report stated that 396,261 persons "have been determined or assessed eligible for Medicaid or CHIP." This report only considered those who confirmed eligibility through an Obamacare Marketplace Exchange. Medicaid-CHIP eligibility may also be obtained via a state agency. On December 3, 2013, CMS reported Background This report is the first in a series of monthly reports on State Medicaid and Children’s Health Insurance Program (CHIP) data, and represents State Medicaid and CHIP agency eligibility activity for the calendar month of October 2013, which coincides with the first month of the initial open enrollment period for the Health Insurance Marketplace (“Marketplace” hereafter). The Affordable Care Act has a “no wrong door” policy which means that individuals can apply for health insurance coverage through the Marketplace or the Medicaid or CHIP agency (if it is a separate agency) in their state. Regardless of which “door,” the individual can get an eligibility determination for all types of financial assistance and the account will be routed to the program for which they are eligible. This means that for a full picture of Medicaid and CHIP activity, the numbers in this report—which come from the state level—need to be understood in concert with the numbers previously reported by the Federal Marketplace. 1 The data included in this report were reported to CMS from state Medicaid and CHIP agencies as part of the Medicaid and CHIP Performance Indicator process, and supplement data on Marketplace activity released by HHS. Also included are some highlights reported to us by state agencies. Through the Medicaid and CHIP Performance Indicator process, states report on a common set of indicators designed to provide information to support program management and policy-making. State Medicaid and CHIP programs submit weekly and monthly data to CMS on a range of indicators related to application, eligibility, and enrollment processes. This report focuses on those monthly indicators that relate to key processes relevant during open enrollment: the number of applications received and the number of eligibility determinations made. We are pleased that all states have provided data on at least one of the key indicators reported here. When submitting each subsequent monthly report, states will update the prior month’s data with any updates that have occurred since the prior report. Given that states are reporting monthly data to CMS soon after the close of the month, the data presented in this report should be considered preliminary. For example, paper applications filed at county offices at the end of a reporting period may not be counted in time for inclusion in the preliminary data but would be captured when the data are finalized a month later. [...] [1] On November 13, 2013 HHS issued the Health Insurance Marketplace: November Enrollment Report which includes enrollment-related information reported through the Marketplaces and Medicaid and CHIP eligibility data on applications submitted through the Marketplace. Because of the integrated nature of eligibility determinations in State Based Marketplace (SBM) states, SBM data which were in the November 13 report are also included in this report. This CMS Report states: [...] [5] See State-by-State table notes for state-specific caveats regarding the reported data; because of reporting capability some states included renewals in these data. Post Comment Private Reply Ignore Thread |
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